Individual provider Active NPI

Aisha A Jakachira, MS, LPC, CSAC

  • Professional Counselor
  • Tucson, AZ
National Provider Identifier
1366738783
Registry record updated Nov 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
16412 Issued in AZ
Practice address
PO Box 36295
Tucson, AZ 85740-6295
Phone
(414) 688-4806
NPI assigned
Jun 23, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 15690-131 WI
Addiction (Substance Use Disorder) Counselor 101YA0400X 15665-132 WI
Professional Counselor 101YP2500X 5578-125 WI
Professional Counselor 101YP2500X 16412 AZ Primary

Addresses

Primary practice location

PO Box 36295
Tucson, AZ 85740-6295

Mailing address

PO Box 36295
Tucson, AZ 85740-6295
Phone (414) 688-4806

Other practice location 1

PO Box 36295
Tucson, AZ 85740-6295
Phone (414) 688-4806

Other identifiers 1

IdentifierTypeStateIssuer
42021500MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
15665-132WIMDAddiction (Substance Use Disorder) Counselor
15690-131WIMDAddiction (Substance Use Disorder) Counselor
16412AZMDProfessional Counselor
5578-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Peoples Health Care Connection, LLC PastSince Apr 26, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: aisha.jakachira@489656322949124.direct.elationemr.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510704000000",
    "number": "1366738783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36295",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857406295",
            "telephone_number": "414-688-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 36295",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857406295",
            "telephone_number": "414-688-4806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 36295",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857406295",
            "country_code": "US",
            "telephone_number": "414-688-4806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAKACHIRA",
        "first_name": "AISHA",
        "middle_name": "A",
        "credential": "MS, LPC, CSAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-23",
        "last_updated": "2017-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15690-131",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15665-132",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "5578-125",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "16412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42021500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; 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.