JENNIFER MANDIGO (NPI# 1194957670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194957670 |
| Entity Type | Individual |
| Full Name | JENNIFER MANDIGO |
| Other Name | JENNIFER SCHENK |
| Credential | PSY.D. |
| Practice Address |
1305 E Butte Ave Florence AZ 85132-9221 |
| Practice Telephone | 5201525752 |
| Mailing Telephone | 5201525752 |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2019-04-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | CL60575230 | WA | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
1305 E BUTTE AVE |
| City | FLORENCE |
| State | AZ |
| Zip Code | 85132-9221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255566477 | State of Arizona Department of Corrections | Clinic/Center | 1305 E Butte Ave, Florence, AZ 85232 | 2009-05-18 |
| 1265031496 | Samantha Ellen Fullmer | General Practice | 1305 E Butte Ave, Florence, AZ 85132-9221 | 2020-10-19 |
| 1023670338 | Amanda Marie Carroll | Dentist | 1305 E Butte Ave, Florence, AZ 85132-9221 | 2019-07-08 |
| 1740758762 | Christa Melody Moore | Nurse Practitioner | 1305 E Butte Ave, Florence, AZ 85132-9221 | 2018-11-07 |
| 1073038824 | Dorothy Chinyere Igwe | Nurse Practitioner | 1305 E Butte Ave, Florence, AZ 85132-9221 | 2017-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457905648 | Katherine Gastelum | Specialist/Technologist | 2700 North Anthem Way, Florence, AZ 85132 | 2019-07-26 |
| 1003309238 | Horizon Health and Wellness, Inc. | Clinic/Center | 450 W Adamsville Rd Ste B, Florence, AZ 85132 | 2018-06-12 |
| 1821594136 | Jeremiah David Johnson | Internal Medicine | 971 N. Jason Lopez Circle Bldg B, Florence, AZ 85132 | 2018-04-04 |
| 1174022990 | Nicholas Ryan Bibeau | Physical Therapist | 4374 East Butte Avenue, Florence, AZ 85132 | 2018-02-07 |
| 1598289464 | Cyrus Faramroze Austin | Dentist | 1100 Bowling Rd., Florence, AZ 85132 | 2017-08-01 |
| 1477082642 | Horizon Health and Wellness, Inc. | Clinic/Center | 450 W Adamsville Rd Ste A, Florence, AZ 85132 | 2017-06-09 |
| 1083150205 | Sanna Neff | Nurse Practitioner | 495 N Pinal Pkwy Ste 106, Florence, AZ 85132 | 2017-01-11 |
| 1114322807 | Affinity Physical Therapy, LLC | Physical Therapist | 350 S Main Street, Florence, AZ 85132 | 2014-10-24 |
| 1083018923 | Ryan William Taylor | Nurse Practitioner | 1155 N. Pinal Parkway, Central Az Detention Center, Florence, AZ 85132 | 2014-10-21 |
| 1881012755 | Carlos Lavor Weekly | Dentist | 1305 East Butte, Florence, AZ 85132 | 2014-03-28 |
| Find all providers in zip 85132 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417586868 | Teresa A Davis | Counselor | 71 Cavalier Blvd Ste 303, Florence, KY 41042-5172 | 2020-04-07 |
| 1033696646 | Kevin Fulton | Counselor | 603 N Brunson St, Florence, SC 29506-6127 | 2018-07-26 |
| 1710485263 | Arthenius Jackson | Counselor | 702 S Coit St Ste 8, Florence, SC 29501-5113 | 2018-01-30 |
| 1952816605 | Ihope Christian Care and Counseling, Inc | Counselor | 1414 W Evans St, Florence, SC 29501-3326 | 2017-12-04 |
| 1801330972 | Shirley Robinson | Counselor | 1886 Westmoreland Ave, Florence, SC 29505-2967 | 2016-12-08 |
| 1376096792 | Positive Change | Counselor | 3086 S Cashua Dr, Florence, SC 29501-6329 | 2016-08-02 |
| 1043675275 | Kimberly Lynn Roberts | Counselor | 514 W Palmetto St Ste 2b, Florence, SC 29501-4428 | 2015-12-14 |
| 1811389307 | Carrie Graham | Counselor | 1505 Heritage Ln, Suite B, Florence, SC 29505-3141 | 2015-02-20 |
| 1699190827 | Devin Donohoe | Counselor | 29 North Main St, Florence, MA 01062 | 2014-02-25 |
| 1861839359 | Clifford Todd Norris | Counselor | 1318 Pinckney Ave, Florence, SC 29505-3039 | 2013-05-24 |
| Find all providers in FLORENCE | ||||
Please comment or provide details below to improve the information on JENNIFER MANDIGO.
| 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.