JENNIFER WILSON DIEZ (NPI# 1023173911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023173911 |
| Entity Type | Individual |
| Full Name | JENNIFER WILSON DIEZ |
| Credential | MA, LPC, LISAC |
| Practice Address |
1224 E Lowell St Tucson AZ 85721-0095 |
| Mailing Address |
Po Box 210095 Tucson AZ 85721-0095 |
| Practice Telephone | 5206213334 |
| Practice Fax Number | 5206263105 |
| Mailing Telephone | 5206216664 |
| Mailing Fax Number | 5206266105 |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LISAC-10105 | AZ | Behavioral Health & Social Service Providers |
| X | 101YM0800X |
Counselor Specialization: Mental Health |
LPC-10115 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
1224 E LOWELL ST |
| City | TUCSON |
| State | AZ |
| Zip Code | 85721-0095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639143365 | Bruce Helming | Family Medicine | 1224 E Lowell St, Tucson, AZ 85721-0095 | 2006-02-17 |
| 1649749193 | Mark Woodburn | Pharmacist | 1224 E Lowell St, Tucson, AZ 85721-0095 | 2018-11-14 |
| 1073028635 | Mary Ann Belknap | Counselor | 1224 E Lowell St, Tucson, AZ 85721-0400 | 2017-12-05 |
| 1235641903 | Lauren Hayes | Psychologist | 1224 E Lowell St, Tucson, AZ 85721-0400 | 2017-11-02 |
| 1437686391 | Kacey Greening | Psychologist | 1224 E Lowell St, Tucson, AZ 85721-0400 | 2017-05-22 |
| 1558814756 | Kelly Jo Kurtz | Marriage & Family Therapist | 1224 E Lowell St, Tucson, AZ 85721-0400 | 2016-07-25 |
| 1881069599 | Rose Mary Jacob I | Registered Nurse | 1224 E Lowell St, Tucson, AZ 85721-0095 | 2015-12-07 |
| 1124492301 | Karen Schwartz | Registered Nurse | 1224 E Lowell St, Tucson, AZ 85721-0095 | 2015-11-25 |
| 1437523164 | Amy Direnfeld | Registered Nurse | 1224 E Lowell St, Tucson, AZ 85721-0400 | 2015-11-18 |
| 1316311095 | Cecilia Ann Martinez | Registered Nurse | 1224 E Lowell St, Tucson, AZ 85721-0095 | 2015-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124598701 | Patti Norris | Counselor | 1224 E. Lowell St. Bldg. 95, Tucson, AZ 85721 | 2018-11-27 |
| 1275976706 | Elle Ross | Internal Medicine | 5265 E. Knight Drive, Tucson, AZ 85721 | 2013-04-15 |
| 1326237801 | Anita Ann Koshy | Psychiatry & Neurology | 1501 N Campbell Ave, 6th Floor, Department of Neurology, Tucson, AZ 85721 | 2007-10-19 |
| 1053509679 | University of Arizona | Audiologist | 1131 E. 2nd Street, Tucson, AZ 85721 | 2007-10-09 |
| 1730307083 | Trae Tashiro | Specialist/Technologist | 1 National Championship Drive, Mckale Center N108, Tucson, AZ 85721 | 2007-04-23 |
| 1275661332 | The University of Arizona College of Pharmacy | Pharmacist | 220 W 6th St. Usa B113, Tucson, AZ 85721 | 2007-03-01 |
| 1841325552 | Donald Elwood Porter | Family Medicine | 1224 East Lowell Street, Tucson, AZ 85721 | 2007-02-22 |
| 1669520730 | Linda Lundergan | Preventive Medicine | Campus Health University of Arizona, 1224 E. Lowell, Tucson, AZ 85721 | 2007-01-08 |
| 1861590242 | Cynthia Klatte | Social Worker | 1224 E. Lowell Street, Counseling & Psych. Services, Tucson, AZ 85721 | 2006-09-20 |
| 1184696122 | Stella Kidwell | Psychiatry & Neurology | 1501 N Campbell Avenue, 6th Floor, Department of Neurology, 6th Floor, Tucson, AZ 85721 | 2006-02-03 |
| Find all providers in zip 85721 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811509581 | Creosote Mental Health Group | Counselor | 4646 N Swan Rd Ste 105, Tucson, AZ 85718-6715 | 2020-08-23 |
| 1497366314 | Cachora Standifer | Counselor | 6294 S Eagles Talon Pkwy, Tucson, AZ 85757-1639 | 2020-08-13 |
| 1508490673 | Terrence Hickey | Counselor | 11235 E Sundance Dr, Tucson, AZ 85749-8280 | 2020-02-27 |
| 1568092815 | Travis Anderson | Counselor | 2002 W Anklam Rd, Tucson, AZ 85745-2148 | 2020-01-24 |
| 1740830447 | Let All Thrive, LLC | Counselor | 1580 N Kolb Rd Ste 200, Tucson, AZ 85715-4933 | 2019-09-13 |
| 1316424526 | Wendy Sizer LLC | Counselor | 425 W Paseo Redondo Apt 3b, Tucson, AZ 85701-8258 | 2018-07-20 |
| 1841705043 | Cynthia Miller Potter | Counselor | 4144 E Broadway Blvd, Tucson, AZ 85711-3455 | 2017-12-10 |
| 1447791165 | Juan M. Salgado | Counselor | 7490 S. Camino De Oeste, Tucson, AZ 85757 | 2017-03-14 |
| 1447701867 | Katheryn Fredman | Counselor | 3830 E. Bellevue St., Tucson, AZ 85716 | 2016-10-20 |
| 1104374255 | Shannon Dexter Petrovich | Counselor | 5855 N Kolb Rd Unit 4208, Tucson, AZ 85750-0991 | 2016-09-19 |
| Find all providers in TUCSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.