Active NPI
Jayden Doden, BA BHT
- Counselor
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- BHT
- Practice address
- 23460 N 19TH Ave Ste 220
Phoenix, AZ 85027-2170 - Phone
- (602) 989-8899
- Fax
- (602) 900-0969
- NPI assigned
- Feb 23, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | BHT | AZ | Primary |
Addresses
Primary practice location
23460 N 19TH Ave Ste 220
Phoenix, AZ 85027-2170
Mailing address
17505 N 79TH Ave Ste 105
Glendale, AZ 85308-8724
Phone (602) 989-8899
Other practice location 1
17505 N 79th Ave Ste 105
Glendale, AZ 85308-8724
Phone (602) 989-8899
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740851542 | Other | AZ | JANUARY HARTZE OF HEALING HARTZE INDIVIDUAL NPI |
| CSLG13230 | Other | AZ | ARIZONA DEPARTMENT OF HEALTH SERVICES |
| 1043982747 | Other | AZ | NPI TYPE 2 ORGANIZATIONAL/FACILITY |
| 125011 | Medicaid | AZ |
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
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BHT | AZ | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Hartze, PLLC | Counselor | Current | Accepting new patients |
| Healing Hartze, PLLC | Counselor | Current | Accepting new patients |
Locations
17505 N 79th Ave
Ste 105
Glendale, AZ 85308
Phone (602) 292-4477
23460 N 19th Ave
Ste 220
Phoenix, AZ 85027
Phone (602) 292-1862
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709596800000",
"number": "1477319762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17505 N 79TH AVE STE 105",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853088724",
"telephone_number": "602-989-8899",
"fax_number": "602-900-0969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23460 N 19TH AVE STE 220",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850272170",
"telephone_number": "602-989-8899",
"fax_number": "602-900-0969"
}
],
"practiceLocations": [
{
"address_1": "17505 N 79th Ave Ste 105",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "AZ",
"postal_code": "853088724",
"country_code": "US",
"telephone_number": "602-989-8899",
"fax_number": "602-900-0969",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DODEN",
"first_name": "JAYDEN",
"credential": "BA BHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-23",
"last_updated": "2024-03-05",
"certification_date": "2024-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AZ",
"license": "BHT",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JANUARY HARTZE OF HEALING HARTZE INDIVIDUAL NPI",
"identifier": "1740851542",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARIZONA DEPARTMENT OF HEALTH SERVICES",
"identifier": "CSLG13230",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI TYPE 2 ORGANIZATIONAL/FACILITY",
"identifier": "1043982747",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "125011",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.