Jessica Audrylee Whitaker, MSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCSW10272 Issued in AZ

Practice address

7219 N Litchfield Rd BLDG 317
56Mos/Sgohf - Luke Air Force Base
Glendale, AZ 85309-1529

Phone

(877) 557-3422

Fax

(877) 875-2500

NPI assigned

Oct 23, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295818607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 W BEHREND DR APT 2134",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086954",
            "telephone_number": "623-877-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7219 N LITCHFIELD RD BLDG 317",
            "address_2": "56MOS/SGOHF - LUKE AIR FORCE BASE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853091529",
            "telephone_number": "877-557-3422",
            "fax_number": "877-875-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "JESSICA",
        "middle_name": "AUDRYLEE",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LCSW10272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wheels of Care LLC
• Sandra J Whelan
• Samantha Whelchel
• Rhiannon Joy Whisler, NP-C
• Hunter Anderson Whitaker, SLPA
• Zachary Lindy Whitaker, DO
• Charles Fredrick White, M.D.
• Jolisa White
• Jordan Michael White, RBT
• Michael Allen White, MSPC, LAC

• Mental Health Counselor in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.