MRS. JESSICA SHETZEN (NPI# 1124677802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124677802 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA SHETZEN |
| Credential | LCSW |
| Practice Address |
6153 W Olive Ave Glendale AZ 85302-4564 |
| Mailing Address |
7718 E Hubbell St Scottsdale AZ 85257-2228 |
| Practice Telephone | 6023893560 |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2019-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LCSW-18022 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
6153 W OLIVE AVE |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85302-4564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821049800 | Robert James Allen | Family Medicine | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2006-05-13 |
| 1982240040 | Leslie Billings | Counselor | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2019-11-25 |
| 1396237640 | Troy Riutta | Nurse Practitioner | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2018-06-02 |
| 1629575683 | Christina Elliott | Nurse Practitioner | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2018-04-06 |
| 1982064515 | Todd Robert Shorten | Nurse Practitioner | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2016-02-24 |
| 1164817987 | Valerie P Jackson | Social Worker | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2015-03-30 |
| 1972919397 | Susan Kinkel | Marriage & Family Therapist | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2014-07-07 |
| 1700292158 | Ray Young | Counselor | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2014-07-07 |
| 1073953659 | Mireya J Roe | Counselor | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2013-06-27 |
| 1104266782 | Kirstin Yates | Counselor | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2013-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736190 | Tyler Davis LLC | Psychologist | 8607 N 59th Ave Suite C-6, Glendale, AZ 85302 | 2020-10-05 |
| 1679098420 | Sidney M Kingery | Physical Therapist | 5810 W Peoria Ave, Glendale, AZ 85302 | 2017-08-12 |
| 1255877825 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 5651 W. Harmont Dr, Glendale, AZ 85302 | 2017-01-06 |
| 1346696382 | Megan Mari Byrne | Chiropractor | 8425 N 61st Dr., Glendale, AZ 85302 | 2016-05-09 |
| 1558742007 | Farzan Mojgani | Dentist | 5929 W. Peoria Ave. Suite 101, Glendale, AZ 85302 | 2015-06-10 |
| 1255757308 | Glendale Modern Dentistry, LLP | Dentist | 5143 West Olive Ave, Suite 140, Glendale, AZ 85302 | 2014-03-13 |
| 1518391341 | Crystal Nicole-marie Whitman | Physical Therapy Assistant | 5411 W. Cinnabar Ave., Glendale, AZ 85302 | 2013-08-28 |
| 1013349570 | A New Leaf | Clinic/Center | 8581 N 61st Ave, Building A, Suite 101-102, Glendale, AZ 85302 | 2013-08-06 |
| 1255602439 | Alicia S Fennemore | Specialist/Technologist | 352 E. Camelback Rd., Suite 102, Phoenix, AZ 85302 | 2012-01-20 |
| 1639306731 | Total Medical Care, LLC | Clinic/Center | 5048 W. Northern Avenue, Suite 105, Glendale, AZ 85302 | 2009-06-16 |
| Find all providers in zip 85302 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537709 | Kendra Nicole Rosenfeld | Counselor | 10218 N 60th Ln, Glendale, AZ 85302-1256 | 2020-10-26 |
| 1609483825 | Wisemind Sober Living and Treatment, LLC | Counselor | 5755 W Irma Ln, Glendale, AZ 85308-9178 | 2020-09-30 |
| 1740814664 | Maryjoy C Kearns | Counselor | 7400 W Arrowhead Clubhouse Dr Apt 2036, Glendale, AZ 85308-8825 | 2020-02-29 |
| 1366089997 | Lilit Ginosyan Hayrapetyan | Counselor | 401 N Brand Blvd Ste 366, Glendale, CA 91203-4427 | 2019-12-02 |
| 1104473552 | Sabrina Laporta | Counselor | 7037 65th Pl Apt 1r, Glendale, NY 11385-6426 | 2019-08-21 |
| 1760042667 | Arineh Ohanian | Counselor | 1022 Elm Ave, Glendale, CA 91201-3424 | 2019-06-13 |
| 1467010801 | Rebecca Bautista | Counselor | 223 North Jackson Street, Glendale, CA 91206 | 2019-05-31 |
| 1093275018 | Heather Marie Ford | Counselor | 7303 W Robin Ln, Glendale, AZ 85310-5653 | 2019-03-25 |
| 1023585742 | Center for Couples Therapy, Pllc | Counselor | 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 | 2018-10-31 |
| 1992209431 | Jessica Ann Van Leer | Counselor | 17505 N 79th Ave Ste 410, Glendale, AZ 85308-8732 | 2018-03-20 |
| Find all providers in GLENDALE | ||||
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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.