Jaime A Tarango Jr., LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LAC-08053T Issued in AZ

Practice address

8590 E Shea Blvd Ste 130
Scottsdale, AZ 85260-6682

Phone

(602) 540-0441

NPI assigned

Feb 5, 2024

Last updated

Feb 5, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• JJ Tarango Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Elite Psychology and Wellness, PLLC

  • Mental Health Counselor
  • Scottsdale, AZ
  • NPI 1124636865
  NPD

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1578326393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11105 N 115TH ST APT 2065",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852594027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8590 E SHEA BLVD STE 130",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606682",
            "telephone_number": "602-540-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARANGO",
        "first_name": "JAIME",
        "middle_name": "A",
        "name_suffix": "Jr.",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-08053T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JJ",
            "last_name": "TARANGO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lisa Tapia, MFT-T, CATC-I
• Teresa Malinn Tapolski, LPN
• Tara L Brodkin MD PLLC
• Tara Trans
• Saad Tarabichi, MD
• Justin Taranto, PHARMD
• Lydia M Taranto, MD
• Daniel Layne Tarbox, M.D.
• Frank Tardi, DPT
• Andre Tarin, NP

• Mental Health Counselor in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Mental Health Counselor in Arizona

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

Verify at the official NPI Registry.