Active NPI
Aisha A Jakachira, MS, LPC, CSAC
- Professional Counselor
- Tucson, AZ
National Provider Identifier
1366738783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 16412
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42021500 | Medicaid | WI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 15665-132 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 15690-131 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 16412 | AZ | MD | Professional Counselor |
| 5578-125 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peoples Health Care Connection, LLC | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Community/Behavioral Health Agency
- Tucson, AZ
- NPI 1497913883
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.