JENNIFER L ENDERS (NPI# 1407006380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407006380 |
| Entity Type | Individual |
| Full Name | JENNIFER L ENDERS |
| Credential | MA |
| Practice Address |
1115 E Florence Blvd Casa Grande AZ 85122-4228 |
| Practice Telephone | 4803208378 |
| Mailing Telephone | 4803208378 |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2015-04-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LISAC 11863 | AZ | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC 13230 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
1115 E FLORENCE BLVD |
| City | CASA GRANDE |
| State | AZ |
| Zip Code | 85122-4228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740734458 | Veronica Agredano Ellis | Social Worker | 1115 E Florence Blvd, Casa Grande, AZ 85122-4228 | 2016-08-10 |
| 1659825453 | Lauren Shavers | Marriage & Family Therapist | 1115 E Florence Blvd, Suite A, Casa Grande, AZ 85122-4228 | 2016-08-09 |
| 1801247887 | Ashia Deshund Taylor | Counselor | 1115 E Florence Blvd, Casa Grande, AZ 85122-4228 | 2016-06-30 |
| 1710337670 | Leroyce Smith | Social Worker | 1115 E Florence Blvd, Suite A, Casa Grande, AZ 85122-4228 | 2016-06-21 |
| 1033567706 | Melissa Ann Montgomery | Social Worker | 1115 E Florence Blvd, Suite A, Casa Grande, AZ 85122-4228 | 2016-06-02 |
| 1215385984 | Lindsey Rhett | Marriage & Family Therapist | 1115 E Florence Blvd, Ste A, Casa Grande, AZ 85122-4228 | 2016-06-02 |
| 1528400538 | Easter Seals Blake Foundation | Community/Behavioral Health | 1115 E Florence Blvd, Suite A, Casa Grande, AZ 85122-4228 | 2013-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043857097 | Karen M Garcia | Registered Nurse | 2631 N Brown Avenue, Casa Grande, AZ 85122 | 2019-12-09 |
| 1063060291 | Martha Bollin | Registered Nurse | 2631 N. Brown Ave., Casa Grande, AZ 85122 | 2019-08-30 |
| 1841846920 | Banner Imaging Services LLC | Radiology | 1828 E. Florence Blvd Bldg B Ste 118 & 128, Suite 118 and 128, Casa Grande, AZ 85122 | 2019-08-14 |
| 1629532692 | Kirk Lee Mackley | Physical Therapist | Vibrant Care, 1355 E Florence Blvd #137, Casa Grande, AZ 85122 | 2019-01-24 |
| 1205307436 | Natalie T Trujillo | Physician Assistant | 301 E Cottonwood Ln Ste 1&2, Casa Grande, AZ 85122 | 2018-12-16 |
| 1710455860 | Community Intervention Associates, Inc | Clinic/Center | 1667 N. Trekell Rd, Suite 101 & 102, Casa Grande, AZ 85122 | 2018-11-07 |
| 1245728302 | Jenkins Chiropractic LLC | Chiropractor | 1891 N Trekell Rd Ste 2, Casa Grande, AZ 85122 | 2018-04-24 |
| 1497242408 | Kelly Winnett | Naturopath | 1415 N Trekell Rd Ste 102, Casa Grande, AZ 85122 | 2018-04-16 |
| 1851895783 | Michael Brubaker Counseling | Community/Behavioral Health | 1927 N. Trekell Rd, Ste D, Casa Grande, AZ 85122 | 2018-03-23 |
| 1770095317 | Walmart Stores Inc. | Pharmacy | 1741 E. Florence Blvd, Casa Grande, AZ 85122 | 2017-11-03 |
| Find all providers in zip 85122 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790105062 | Jenny V Couch | Counselor | 24906 W Boone Dr, Casa Grande, AZ 85193-8268 | 2014-04-24 |
| 1609987411 | Archimedes Marcelo Aquino | Counselor | 1415 N Trekell Rd, Suite 203, Casa Grande, AZ 85222-2832 | 2006-08-31 |
| 1255952743 | Collier Counseling Center | Counselor | 1927 N Trekell Rd Ste D, Casa Grande, AZ 85122-1762 | 2020-05-06 |
| 1538709357 | Jessica Eisenhauer | Counselor | 1901 N Trekell Rd, Casa Grande, AZ 85122-1770 | 2020-01-09 |
| 1457994287 | Jacqueline Smith | Counselor | 210 E Cottonwood Ln, Casa Grande, AZ 85122-2514 | 2019-10-24 |
| 1710479670 | Lee A Pinkerton | Counselor | 900 E Florence Blvd, Casa Grande, AZ 85122-4666 | 2018-06-05 |
| 1588111405 | Paula Krasselt | Counselor | 900 E Florence Blvd Ste G, Casa Grande, AZ 85122-4673 | 2016-09-08 |
| 1477925592 | Elena Mcgroarty | Counselor | 210 E Cottonwood Ln, Casa Grande, AZ 85122-2514 | 2015-10-28 |
| 1598137242 | Tyrae Word | Counselor | 210 E Cottonwood Ln, Casa Grande, AZ 85122-2514 | 2015-10-21 |
| 1265809578 | Lorenia Atencio | Counselor | 865 N Arizola Rd, Casa Grande, AZ 85122-6011 | 2015-08-24 |
| Find all providers in CASA GRANDE | ||||
| City | CASA GRANDE |
| Zip Code | 85122 |
Please comment or provide details below to improve the information on JENNIFER L ENDERS.
| 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.