Selah Counseling Center LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SELAH COUNSELING CENTER LLC

Practice address

2445 E Cheryl Dr
Phoenix, AZ 85028-4316

Phone

(623) 499-3218

NPI assigned

Aug 18, 2021

Last updated

Aug 18, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Billiard, LCSWNPI 1750837050

Title

Owner

Phone

(623) 499-3218

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 18

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.

• Jennifer Billiard, MSW

  • Clinical Social Worker
  • Phoenix, AZ
  • NPI 1750837050
  Medicare reassignment Care Compare group NPD Authorized official
• Lucille Ryan

  • Social Worker
  • Tempe, AZ
  • NPI 1285207357
  Medicare reassignment Care Compare group NPD
• Shannon Kris Jacobson, MSW

  • Social Worker
  • Los Angeles, CA
  • NPI 1225510688

  AZ

  Medicare reassignment Care Compare group NPD
• Dienna Maria Garcia, LMSW

  • Mental Health Counselor
  • Phoenix, AZ
  • NPI 1215114020
  Medicare reassignment NPD
• Nicole Buchak

  • Social Worker
  • Phoenix, AZ
  • NPI 1184432759
  NPD
• Julia Ann Coney, LMSW

  • Social Worker
  • Phoenix, AZ
  • NPI 1144902610
  NPD
• Kristal Rayne Etsitty

  • Clinical Social Worker
  • Phoenix, AZ
  • NPI 1245705946
  NPD
• Jami Goldman

  • Social Worker
  • Phoenix, AZ
  • NPI 1447069612
  NPD
• Amy Hodgson, LMSW

  • Social Worker
  • Phoenix, AZ
  • NPI 1033084702
  NPD
• Katie Holden, LMSW

  • Clinical Social Worker
  • Phoenix, AZ
  • NPI 1811871585
  NPD
• Angelica Luna

  • Mental Health Counselor
  • Phoenix, AZ
  • NPI 1497439525
  NPD
• Andrew P Marioni

  • Clinical Social Worker
  • Phoenix, AZ
  • NPI 1548923675
  NPD

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629244800000",
    "number": "1518633650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 E CHERYL DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850284316",
            "telephone_number": "623-499-3218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 E CHERYL DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850284316",
            "telephone_number": "623-499-3218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELAH COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A",
        "authorized_official_last_name": "BILLIARD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-499-3218",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nafisa Sekandari, PSY.D.
• Sruthi Sekaran, MD
• Nima Sekhadia, MD
• Anurit Sekhon
• Timothy Sekosky, DPM
• Selamg LLC
• Christina Regan Selberg, PA-C
• Janet Selby, LMT
• Thomas J. Selby, PH.D.
• Brad Selden, MD

• Clinical Social Worker in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.