JESSICA MICHELLE BRUBAKER (NPI# 1346718376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346718376 |
| Entity Type | Individual |
| Full Name | JESSICA MICHELLE BRUBAKER |
| Credential | LPC |
| Practice Address |
16620 N 40th St Ste G1 Phoenix AZ 85032-3351 |
| Mailing Address |
1814 E Frier Dr Unit 1 Phoenix AZ 85020-7633 |
| Practice Telephone | 6023630629 |
| Mailing Telephone | 6023803568 |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2018-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC-17552 | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841595626 | Jessica Brubaker | Social Worker | 1452 Pennbrook St, Altoona, PA 16601-3133 | 2011-01-25 |
| 1346790326 | Jessica Brubaker | Licensed Practical Nurse | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2016-10-13 |
| 1588031728 | Jessica M Brubaker | Nurse Practitioner | 1535 Highlands Dr Ste 300, Lititz, PA 17543-7681 | 2015-08-24 |
| Street Address |
16620 N 40TH ST STE G1 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85032-3351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003429937 | Traci Renee Manry | Counselor | 16620 N 40th St Ste G1, Phoenix, AZ 85032-3351 | 2020-08-29 |
| 1538772454 | Troy Tangeman | Counselor | 16620 N 40th St Ste G1, Phoenix, AZ 85032-3351 | 2020-08-29 |
| 1316571920 | Karen Michele Imus | Dietitian, Registered | 16620 N 40th St Ste G1, Phoenix, AZ 85032-3351 | 2020-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689298838 | Eboni Nicole Morris | Psychologist | 166001 N. 40th St., Suite 210, Phoenix, AZ 85032 | 2020-06-03 |
| 1326688573 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3227 E Bell Road, Suite 170, Room P1, Phoenix, AZ 85032 | 2020-01-15 |
| 1740836642 | Integrated Medical Services Inc | Internal Medicine | 3815 W Bell Rd, Ste 3200, Phoenix, AZ 85032 | 2019-08-15 |
| 1639739576 | Sarah Martin | Physical Therapy Assistant | Ridgecrest Healthcare, 16640 North 38th Street, Phoenix, AZ 85032 | 2019-06-13 |
| 1750846168 | Conte Sport Performance Therapy LLC | Physical Therapist | 18413 N. Cave Creed Rd, Suite 8, Phoenix, AZ 85032 | 2019-02-11 |
| 1659848208 | Pacific Dental Services Foundation | Physician Assistant | 4559 E. Bell Road, Ste 106, Phoenix, AZ 85032 | 2018-10-31 |
| 1083100812 | Phoenix Interventional Pain Management, Pllc | Anesthesiology | 3815 E Bell Rd Ste 3500a, Phoenix, AZ 85032 | 2018-07-04 |
| 1770074635 | Np Professional LLC | Clinic/Center | 3329 E Bell Rd Ste A1, Phoenix, AZ 85032 | 2018-05-25 |
| 1932600020 | North Phoenix Asc LLC | Clinic/Center | 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 | 2018-02-23 |
| 1396263307 | Cheryl Anne Miller | Registered Nurse | 15002 N. 32nd St., Phoenix, AZ 85032 | 2017-08-30 |
| Find all providers in zip 85032 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557729 | Psychological and Consulting Services LLC | Counselor | 331 N 1st Ave Ste 102, Phoenix, AZ 85003-4528 | 2020-10-27 |
| 1447863683 | Mindscape Wellness LLC | Counselor | 4545 N 36th St Ste 117, Phoenix, AZ 85018-3473 | 2020-08-27 |
| 1700496718 | Suma Hodge | Counselor | 2341 N 83rd Dr, Phoenix, AZ 85037-3742 | 2020-08-04 |
| 1992322127 | North Pointe Services | Counselor | 1807 W Sienna Bouquet Pl, Phoenix, AZ 85085-8042 | 2020-07-03 |
| 1023630308 | Mary Squires Moran | Counselor | 14040 N Cave Creek Rd Ste 205, Phoenix, AZ 85022-6179 | 2020-05-10 |
| 1467087106 | Omnipotent Health Services | Counselor | 3442 W Paradise Dr, Phoenix, AZ 85029-2239 | 2020-03-03 |
| 1124650536 | Erica Van Parys | Counselor | 3207 E Medlock Dr, Phoenix, AZ 85018-1426 | 2020-02-05 |
| 1790324556 | Amy Kathleen Engle | Counselor | 2432 W Peoria Ave Ste 1123, Phoenix, AZ 85029-4733 | 2019-12-26 |
| 1851934012 | Extinguishing Fear Life Coaching | Counselor | 4435 E Chandler Blvd, Phoenix, AZ 85048-7649 | 2019-10-21 |
| 1134761661 | Kerry Jean Ramella | Counselor | 809 W Maryland Ave, Phoenix, AZ 85013-1325 | 2019-10-16 |
| Find all providers in PHOENIX | ||||
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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.