Individual provider Active NPI

Alva Reene Jeffries, M.A.

  • School Counselor
  • Buckeye, AZ
National Provider Identifier
1770899296
Registry record updated Aug 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
School CounselorTaxonomy code 101YS0200X
License
3785087 Issued in AZ
Practice address
19871 W Freemont Rd
Buckeye, AZ 85326-9512
Phone
(623) 474-6671
NPI assigned
Aug 21, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X 3785087 AZ Primary

Addresses

Primary practice location

19871 W Freemont Rd
Buckeye, AZ 85326-9512

Mailing address

3623 W Morrow Dr
Glendale, AZ 85308-2323
Phone (310) 487-2639

Other identifiers 2

IdentifierTypeStateIssuer
690976/1043419641OtherAZAHCCCS
86-60000493MedicaidAZ

Other names 1

  • Ms. Alva Reene Presley-Jeffries Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
3785087AZMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
County of Maricopa Liberty School Dist 25 Past Accepting new patients

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": "1282348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282348800000",
    "number": "1770899296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3623 W MORROW DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853082323",
            "telephone_number": "310-487-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19871 W FREEMONT RD",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853269512",
            "telephone_number": "623-474-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFRIES",
        "first_name": "ALVA",
        "middle_name": "REENE",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-21",
        "last_updated": "2010-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "AZ",
            "license": "3785087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "690976/1043419641",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "86-60000493",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALVA",
            "last_name": "PRESLEY-JEFFRIES",
            "middle_name": "REENE",
            "prefix": "MS.",
            "credential": "M.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Buckeye, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2010; 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.