Jessica Taylor Andreychuk
Individual provider Active NPI Professional Counselor · Phoenix, AZ
NPI 1336868652 · NPPES record last updated Nov 7, 2025
Key facts
- NPI
- 1336868652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LPC-24083 (AZ)
- Practice address
- 3420 E Shea Blvd Ste 200
Phoenix, AZ 85028-3348 - Phone
- (480) 500-9284
- NPI assigned
- Aug 22, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-24083 | AZ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifeline Professional Counseling Services, Inc | Past | Accepting new patients | |
| Lifeline Professional Counseling Services, Inc | Counselor | Past | Accepting new patients |
| Lifeline Professional Counseling Services, Inc | Past | Accepting new patients | |
| Lifeline Professional Counseling Services, Inc | Past | Accepting new patients | |
| Lifeline Professional Counseling Services, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-24083 | AZ | Yes |
Addresses
Primary practice location
3420 E Shea Blvd Ste 200
Phoenix, AZ 85028-3348
Mailing address
3420 E Shea Blvd Ste 200
Phoenix, AZ 85028-3348
Other names
- Jesse Taylor Andreychuk
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jesse@rootedserenityco.com | Direct |
Other providers in Phoenix, AZ
- Michael Raymond Andrews
- Nancy Andrews
- Natisha Marie Andrews
- Paul E Andrews
- Rebecca Della Andrews
- Olivia Andries
- Rebecca Andrus
- Richard K. Andrus
- Shelby Nicole Andrus
- Matthew D Andrzejewski
All providers in Phoenix, AZ · Professional Counselor in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.