Jerleel Hartwell

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

11630 W Bloomfield Rd
El Mirage, AZ 85335-3915

Phone

(602) 622-9594

NPI assigned

May 1, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Essence of Wellness LLC

  • Mental Illness Community Based Residential Treatment Facility
  • El Mirage, AZ
  • NPI 1023753258
  NPD

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

{
    "created_epoch": "1651363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651363200000",
    "number": "1841935236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 S 216TH LN",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853268030",
            "telephone_number": "602-620-4377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11630 W BLOOMFIELD RD",
            "city": "EL MIRAGE",
            "state": "AZ",
            "postal_code": "853353915",
            "telephone_number": "602-622-9594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTWELL",
        "first_name": "JERLEEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-01",
        "last_updated": "2022-05-01",
        "certification_date": "2022-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1234567",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@essenceofwellnessllc.com",
            "affiliation": "N",
            "endpointDescription": "mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "11630 W Bloomfield Rd",
            "city": "El Mirage",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853353915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Edith Danay Gutierrez Gonzalez, RMA
• Samir J Hamel, FNP-C
• Sonia Nassiri Hamel
• Daniel Lamar Harmon, PHARMD
• Harmony Integrated Health LLC
• Hearts of the Desert, LLC
• Stephanie Henriquez
• Lisa Hickman, PHARM D
• Vivek Hirani, DMD
• Hoa LLC

• Addiction (Substance Use Disorder) Counselor in El Mirage, AZ
• Providers in El Mirage, AZ by specialty
• Addiction (Substance Use Disorder) Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2022; 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.