Individual provider Active NPI

Jessica L Hershel

  • Mental Health Counselor
  • Phoenix, AZ
National Provider Identifier
1548517964
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3201 W Peoria Ave Ste A200
Phoenix, AZ 85029-4699
Phone
(602) 525-2018
Fax
(602) 926-2238
NPI assigned
Aug 6, 2012
Last updated
Sep 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

3201 W Peoria Ave Ste A200
Phoenix, AZ 85029-4699

Mailing address

3201 W Peoria Ave Ste A200
Phoenix, AZ 85029-4699
Phone (602) 525-2018

Other practice location 1

3201 W Peoria Ave Ste 408
Phoenix, AZ 85029-4608
Phone (602) 525-2018

Other identifiers 2

IdentifierTypeStateIssuer
100708380MedicaidOK
200049040MedicaidOK

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
I20250828000219 AZ Practitioner - Mental Health Counselor 1254832637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2222 W Pinnacle Peak Rd
Phoenix, AZ 85027-1231

2222 W Pinnacle Peak Rd
Suite 360
Phoenix, AZ 85027-1230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Psychological Services LLC Mental Health CurrentSince May 31, 2025 Accepting new patients
Arizona Foot & Ankle Care, P.C. CurrentSince Sep 21, 2025 Accepting new patients
Vitality Psychological and Therapy Services PLLC Mental Health PastSince Nov 24, 2024 Accepting new patients

Locations

2222 W Pinnacle Peak Rd
Ste 360
Phoenix, AZ 85027
Phone (602) 525-2018

3201 W Peoria Ave
Ste 408
Phoenix, AZ 85029
Phone (602) 525-2018

3201 W Peoria Ave
Ste A200
Phoenix, AZ 85029
Phone (602) 525-2018

Organizations & group practices 3

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": "1344211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1548517964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 W PEORIA AVE STE A200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294699",
            "telephone_number": "602-525-2018",
            "fax_number": "602-926-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 W PEORIA AVE STE A200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294699",
            "telephone_number": "602-525-2018",
            "fax_number": "602-926-2238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3201 W Peoria Ave Ste 408",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850294608",
            "country_code": "US",
            "telephone_number": "602-525-2018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERSHEL",
        "first_name": "JESSICA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-06",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100708380",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200049040",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.