Individual provider Active NPI

Jennifer McCombs, CSW

  • Mental Health Counselor
  • Phoenix, AZ
National Provider Identifier
1588901565
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6324-S Issued in NV
Practice address
11020 N Tatum Blvd
Phoenix, AZ 85028-6072
Phone
(480) 207-3485
Fax
(480) 207-3485
NPI assigned
Jan 10, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 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 6324-S NV Primary

Addresses

Primary practice location

11020 N Tatum Blvd
Phoenix, AZ 85028-6072

Mailing address

11020 N Tatum Blvd
Phoenix, AZ 85028-6072
Phone (602) 451-2308

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
I20211216001462 AZ Practitioner - Clinical Social Worker 5496051344 Practice locations: Phoenix, AZ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11020 N Tatum Blvd
Suite 100
Phoenix, AZ 85028-6072
Phone (602) 451-2308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6324-SNVMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Counseling and Psychotherapy LTD Clinical PastSince Nov 8, 2025 Accepting new patients
Paradise Counseling & Consultation Center PC PastSince Nov 8, 2025 Accepting new patients
Kathy Crowley LCSW LLC Clinical Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1357776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1588901565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11020 N TATUM BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286072",
            "telephone_number": "602-451-2308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11020 N TATUM BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286072",
            "telephone_number": "480-207-3485",
            "fax_number": "480-207-3485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOMBS",
        "first_name": "JENNIFER",
        "credential": "CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-10",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "6324-S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.