Individual provider Active NPI

Jade Lin Avery

  • Professional Counselor
  • Phoenix, AZ
National Provider Identifier
1295493534
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-20336 Issued in AZ
Practice address
8222 S 48TH St Ste 200
Phoenix, AZ 85044-5303
Phone
(520) 640-7189
Fax
(888) 900-9080
NPI assigned
Dec 3, 2021
Last updated
Mar 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-20336 AZ Primary

Addresses

Primary practice location

8222 S 48TH St Ste 200
Phoenix, AZ 85044-5303

Mailing address

8222 S 48TH St Ste 200
Phoenix, AZ 85044-5303
Phone (520) 640-7189

Other practice location 1

839 W Congress St
Tucson, AZ 85745-2819
Phone (520) 670-3909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240130001932 AZ Practitioner - Mental Health Counselor 8628421351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1230 S Cherrybell Stra
Tucson, AZ 85713-1907
Phone (520) 670-3909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ascend Healthcare, PLLC CurrentSince Mar 20, 2025 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc Current Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Jan 1, 2024 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

312 N Alma School Rd
Ste 11
Chandler, AZ 85224
Phone (602) 649-3008

8222 S 48th St
Ste 200
Phoenix, AZ 85044
Phone (520) 640-7189

1230 S Cherrybell Stra
Tucson, AZ 85713
Phone (520) 205-4997

839 W Congress St
Tucson, AZ 85745
Phone (520) 670-3707

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1295493534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8222 S 48TH ST STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850445303",
            "telephone_number": "520-640-7189",
            "fax_number": "888-900-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8222 S 48TH ST STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850445303",
            "telephone_number": "520-640-7189",
            "fax_number": "888-900-9080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "839 W Congress St",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857452819",
            "country_code": "US",
            "telephone_number": "520-670-3909",
            "fax_number": "520-309-2560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AVERY",
        "first_name": "JADE",
        "middle_name": "LIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-03",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-20336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.