Jeremiah 29:11 Counseling Services LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

JEREMIAH 29:11 COUNSELING SERVICES LLC

Practice address

1 N Macdonald Ste B19
Mesa, AZ 85201-7339

Phone

(206) 291-5998

NPI assigned

Dec 19, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Grady Smith, NPNPI 1750734745

Title

NP/Owner

Phone

(206) 291-5998

Specialties & licenses 1

Addresses

Other names 1

• Jeremiah 2911 Counseling Services LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Grady Smith, CDP

  • Addiction (Substance Use Disorder) Counselor
  • Pacific, WA
  • NPI 1750734745
  NPD Authorized official

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1366210205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N MACDONALD STE B19",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852017339",
            "telephone_number": "206-291-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N MACDONALD STE B19",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852017339",
            "telephone_number": "206-291-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMIAH 29:11 COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-19",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GRADY",
        "authorized_official_title_or_position": "NP/OWNER",
        "authorized_official_telephone_number": "206-291-5998",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeremiah 2911 Counseling Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sheli K Jensen, MAS MFT, LMFT
• Carissa Jenson, FNP-C
• Katherine Jenson, PT
• Angie Darlynn Jeppesen
• Peter C. Jeppson, MD
• Jerry Ellen Owensby, M.D., P.C.
• Natalia Sarmiento Jeschien, P.T
• Jessica Leclerc - Oasis Psychological Services, PLLC
• Jessica Leclerc - Oasis Psychological Services, PLLC
• Jessica Leclerc - Oasis Psychological Services, PLLC

• Addiction (Substance Use Disorder) Counselor in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Addiction (Substance Use Disorder) Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.