Individual provider Active NPI

Jennifer Rappleye

  • Professional Counselor
  • San Tan Valley, AZ
National Provider Identifier
1457052052
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-19644 Issued in AZ
Practice address
36871 N El Morro TRL
San Tan Valley, AZ 85140-7513
Phone
(540) 986-5699
NPI assigned
Mar 13, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-19644 AZ Primary

Addresses

Primary practice location

36871 N El Morro TRL
San Tan Valley, AZ 85140-7513

Mailing address

85 West Combs Road
Ste 101 #208
San Tan Valley, AZ 85140
Phone (540) 986-5699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241016001369 AZ Practitioner - Mental Health Counselor 9830621879 Reassigns benefits to 1 organization
Practice locations: San Tan Valley, AZ

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

San Tan Valley, AZ 85140
Phone (540) 986-5699

36871 N El Morro TRL
San Tan Valley, AZ 85140-7513

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA Professional CurrentSince Mar 1, 2025 Accepting new patients
Presentmind Counseling, LLC. CurrentSince Aug 19, 2024 Accepting new patients

Locations

2550 W Union Hills Dr
Phoenix, AZ 85027
Phone (602) 358-0224

85 W Combs Rd
Ste 101
San Tan Valley, AZ 85140
Phone (480) 639-9359

Organizations & group practices 2

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": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1457052052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 WEST COMBS ROAD",
            "address_2": "STE 101 #208",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "85140",
            "telephone_number": "540-986-5699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36871 N EL MORRO TRL",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851407513",
            "telephone_number": "540-986-5699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPPLEYE",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-19644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Tan Valley, AZ

Sources for this page

Verify at the official NPI Registry.