NPIMap

Organization Active NPI

JKL Professional Counseling Services

  • Mental Health Counselor
  • Peoria, AZ
National Provider Identifier
1689014557
Registry record updated Jun 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13389 Issued in AZ
Legal business name
JKL PROFESSIONAL COUNSELING SERVICES
Practice address
15396 N 83Rd Ave Ste E
Peoria, AZ 85381-5627
Phone
(623) 234-3638
Fax
(623) 234-4606
NPI assigned
Jun 25, 2013
Last updated
Jun 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2013

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

Authorized official

Name
Janeen Wells, MA, LPC, TADNPI 1316144785
Title
Owner/LPC
Phone
(623) 234-3638

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 13389 AZ Primary

Addresses

Primary practice location

15396 N 83Rd Ave Ste E
Peoria, AZ 85381-5627

Mailing address

15396 N 83Rd Ave Ste E
Peoria, AZ 85381-5627
Phone (623) 234-3638

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372118400000",
    "number": "1689014557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15396 N 83RD AVE STE E",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815627",
            "telephone_number": "623-234-3638",
            "fax_number": "623-234-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15396 N 83RD AVE STE E",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815627",
            "telephone_number": "623-234-3638",
            "fax_number": "623-234-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JKL PROFESSIONAL COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-25",
        "last_updated": "2013-06-25",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "JANEEN",
        "authorized_official_title_or_position": "OWNER/LPC",
        "authorized_official_telephone_number": "623-234-3638",
        "authorized_official_credential": "MA, LPC, TAD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "13389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.