JESSICA L SISSON (NPI# 1679090369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679090369 |
| Entity Type | Individual |
| Full Name | JESSICA L SISSON |
| Credential | LPC |
| Practice Address |
8844 E Pampa Ave Mesa AZ 85212-2829 |
| Practice Telephone | 4803585532 |
| Mailing Telephone | 4803585532 |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2017-08-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | LPC-16546 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
8844 E PAMPA AVE |
| City | MESA |
| State | AZ |
| Zip Code | 85212-2829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610302 | West Point Optical Group | Optometrist | 10706 E Point Twenty-two Blvd, #107, Mesa, AZ 85212 | 2020-08-18 |
| 1215553565 | Andrew Eugene Pak | Dentist | 10664 East Point Twenty-two Blvd, Mesa, AZ 85212 | 2020-06-23 |
| 1588200265 | Signal Butte Kids Dentistry and Orthodontics, LLP | Dentist | 10664 E. Point Twenty Two Blvd, Mesa, AZ 85212 | 2019-11-18 |
| 1194371526 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 4316 S Signal Butte Rd, Mesa, AZ 85212 | 2019-08-12 |
| 1194200980 | Highbury Dental Management, LLC | Dentist | 4425 S Mountain Rd, Suite 109, Mesa, AZ 85212 | 2018-09-27 |
| 1033623541 | Latanya Olivia Edenburgs | Case Manager/Care Coordinator | 10436 E Radiant Ave., Mesa, AZ 85212 | 2017-11-20 |
| 1205355880 | Linda Okafor | Nurse Practitioner | 4719 S Calderon Circle, Mesa, AZ 85212 | 2017-09-14 |
| 1689121188 | Agh Mesa LLC | General Acute Care Hospital | 9130 East Elliot Road, Mesa, AZ 85212 | 2016-09-01 |
| 1861841918 | Ryan Blake | Dentist | 4425 S. Mountain Road, Ste 109, Mesa, AZ 85212 | 2016-06-09 |
| 1083089460 | White Glove Health | Nurse Practitioner | 2906 S Lynch Cr, Mesa, AZ 85212 | 2015-12-10 |
| Find all providers in zip 85212 | ||||
| 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 |
|---|---|---|---|---|
| 1801414164 | Rosalie Marie Hasseltine | Counselor | 44 S Greenfield Rd Unit 9, Mesa, AZ 85206-1210 | 2020-07-13 |
| 1811552581 | Samuel Paul Bryant | Counselor | 1024 W Fremont Ave, Mesa, AZ 85210-9316 | 2019-05-07 |
| 1326511593 | Smith Behavioral Health, P.C. | Counselor | 225 W 1st St Unit 120, Mesa, AZ 85201-6554 | 2019-01-09 |
| 1013496751 | Renee Christine Deyden | Counselor | 533 W Guadalupe Rd Unit 1073, Mesa, AZ 85210-7761 | 2018-08-13 |
| 1245720663 | Kristian Jay Mastin | Counselor | 2345 S Alma School Rd Ste 102, Mesa, AZ 85210-4013 | 2018-05-10 |
| 1477055176 | Erik Adair Johnson | Counselor | 6262 E Broadway Rd Ste 110, Mesa, AZ 85206-6101 | 2018-03-08 |
| 1023510435 | Denise M Bruno-krupp | Counselor | 1830 S. Alma School Rd. Suite 101, Mesa, AZ 85210 | 2018-03-01 |
| 1417489162 | Emily Kirkland | Counselor | 2204 S Dobson Rd Ste 102, Mesa, AZ 85202-6457 | 2017-03-31 |
| 1609314434 | Jared Mcgrath | Counselor | 5345 E Mclellan Rd, Unit 53, Mesa, AZ 85205-3412 | 2017-01-31 |
| 1679016877 | Brandon Chatfield | Counselor | 152 N 56th St Bldg B, Mesa, AZ 85205-8718 | 2016-11-21 |
| Find all providers in MESA | ||||
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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.