Organization Active NPI

Jetzen Counseling

  • Clinical Social Worker
  • Carlsbad, NM
National Provider Identifier
1487400214
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JETZEN COUNSELING
Practice address
110 W Shaw St
Carlsbad, NM 88220-5878
Phone
(575) 236-4344
NPI assigned
Apr 24, 2024
Last updated
Aug 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Authorized official

Name
Johnna YeagerNPI 1780117267
Title
Licensed Clinical Social Worker
Phone
(575) 302-7035

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

110 W Shaw St
Carlsbad, NM 88220-5878

Mailing address

1016 Albert St
Carlsbad, NM 88220-4528
Phone (575) 302-7035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240911000040 NM Part B Supplier - Clinic/Group Practice 6901346451 Receives reassigned benefits from 1 practitioner
Practice locations: Carlsbad, NM

National Provider Directory

National Provider Directory

Locations

110 W Shaw St
Carlsbad, NM 88220

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1487400214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 ALBERT ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882204528",
            "telephone_number": "575-302-7035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W SHAW ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882205878",
            "telephone_number": "575-236-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JETZEN COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-24",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "YEAGER",
        "authorized_official_first_name": "JOHNNA",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "575-302-7035"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.