Individual provider Active NPI

Jennifer Anne Jones, MSPC, LPC, LISAC

  • Professional Counselor
  • Peoria, AZ
National Provider Identifier
1619520632
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-17859 Issued in AZ
Practice address
15396 N 83Rd Ave Ste G103
Peoria, AZ 85381-5629
Phone
(602) 354-0259
NPI assigned
Jul 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-17859 AZ Primary

Addresses

Primary practice location

15396 N 83Rd Ave Ste G103
Peoria, AZ 85381-5629

Mailing address

15396 N 83Rd Ave Ste G103
Peoria, AZ 85381-5629
Phone (602) 354-0259

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 8, 2024 through May 8, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC-17859AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Jones Professional Current Accepting new patients

Locations

15396 N 83rd Ave
Ste G103
Peoria, AZ 85381
Phone (602) 354-0259

Organizations & group practices 1

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": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1619520632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15396 N 83RD AVE STE G103",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815629",
            "telephone_number": "602-354-0259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15396 N 83RD AVE STE G103",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815629",
            "telephone_number": "602-354-0259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "credential": "MSPC, LPC, LISAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2023-10-31",
        "certification_date": "2023-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-17859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.