Individual provider Active NPI

Jennifer Billiard, MSW

  • Clinical Social Worker
  • Phoenix, AZ
National Provider Identifier
1750837050
Registry record updated Aug 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
11209 N Tatum Blvd
#260
Phoenix, AZ 85028-6025
Phone
(602) 494-6800
Fax
(602) 494-6803
NPI assigned
Aug 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

11209 N Tatum Blvd
#260
Phoenix, AZ 85028-6025

Mailing address

PO Box 6423
Chandler, AZ 85246-6423

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
I20161024001508 AZ Practitioner - Clinical Social Worker 4385922541 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Selah Counseling Center LLCGroup PAC ID 6507264348, 3 clinicians

Practice addresses (Care Compare)

12406 N 32ND St
Suite 100
Phoenix, AZ 85032-7146
Phone (623) 499-3218

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Selah Counseling Center LLC Clinical CurrentSince Sep 25, 2021 Accepting new patients
Integrative Psychotherapy and Assessment Services CurrentSince May 15, 2019 Accepting new patients

Locations

3038 E Cactus Rd
Ste 2
Phoenix, AZ 85032
Phone (623) 499-3218

2102 W Bethany Home Rd
Phoenix, AZ 85015
Phone (602) 526-8315

12406 N 32nd St
Ste 100
Phoenix, AZ 85032
Phone (623) 499-3218

3038 E Cactus Rd
Phoenix, AZ 85032

6810 E Broadway Blvd
Ste 102
Tucson, AZ 85710
Phone (520) 302-4116

Organizations & group practices 2

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": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472428800000",
    "number": "1750837050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6423",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852466423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11209 N TATUM BLVD",
            "address_2": "#260",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286025",
            "telephone_number": "602-494-6800",
            "fax_number": "602-494-6803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILLIARD",
        "first_name": "JENNIFER",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.