Active NPI
Alva Reene Jeffries, M.A.
- School Counselor
- Buckeye, AZ
National Provider Identifier
1770899296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 3785087
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 690976/1043419641 | Other | AZ | AHCCCS |
| 86-60000493 | Medicaid | AZ |
Other names 1
- Ms. Alva Reene Presley-Jeffries
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3785087 | AZ | MD | School Counselor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Local Education Agency (LEA)
- Buckeye, AZ
- NPI 1043419641
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.