JEANNETTE MAXWELL (NPI# 1740466804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740466804 |
| Entity Type | Individual |
| Full Name | JEANNETTE MAXWELL |
| Credential | MAPC |
| Practice Address |
4068 E Pecos Rd Gilbert AZ 85295-2529 |
| Practice Telephone | 4802797324 |
| Practice Fax Number | 4802797305 |
| Mailing Telephone | 4802797324 |
| Mailing Fax Number | 4802797305 |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2008-01-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YS0200X |
Counselor Specialization: School |
2330233 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
4068 E PECOS RD |
| City | GILBERT |
| State | AZ |
| Zip Code | 85295-2529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790961571 | Kathleen Mary Klamka | Registered Nurse | 4068 E Pecos Rd, Gilbert, AZ 85295-2529 | 2008-01-11 |
| 1720377336 | Corinne Maldonado | Registered Nurse | 4068 E Pecos Rd, Gilbert, AZ 85295-2529 | 2011-04-04 |
| 1013194000 | Lauretta E Clark | Counselor | 4068 E Pecos Rd, Gilbert, AZ 85295-2529 | 2008-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471368 | Lifequest Holding Company Gilbert, LLC | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd Suite 101, Gilbert, AZ 85295 | 2020-09-09 |
| 1255946075 | Lifequest Physical Medicine and Rehab | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd. Suite 101, Gilbert, AZ 85295 | 2020-09-09 |
| 1407467962 | Lifequest Physical Medicine and Rehab | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd, Suite 101, Gilbert, AZ 85295 | 2020-08-10 |
| 1275187718 | Guylene Lucien | Nurse Practitioner | 1689 S. Parkcrest Street, Gilbert, AZ 85295 | 2019-08-01 |
| 1326607144 | Hand Up Behavioral Services, LLC | Community/Behavioral Health | 4145 East Megan Street, Gilbert, AZ 85295 | 2019-06-06 |
| 1629582069 | Victoria Munoz Garcia | Naturopath | 920 S Williams Field Rd., Ste 102, Gilbert, AZ 85295 | 2017-11-21 |
| 1649798752 | Eureka Imperial Residence | Clinic/Center | 633 E Ray Road, Gilbert, AZ 85295 | 2017-09-08 |
| 1447791496 | Janine Patrice Faux | Counselor | 2563 S. Val Vista Drive St. 108, Gilbert, AZ 85295 | 2017-03-10 |
| 1437690450 | Erskine & Barber LLC | Clinic/Center | 5656 S. Power Rd #129, Gilbert, AZ 85295 | 2017-03-09 |
| 1164965448 | New Horizon Youth Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 774 E. Buffalo St, Chandler, AZ 85295 | 2016-11-18 |
| Find all providers in zip 85295 | ||||
| Taxonomy Code | 101YS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932355682 | John Edward Grafing IIi | Counselor | 3777 S Loback Ln, Gilbert, AZ 85297-7982 | 2008-08-13 |
| 1477739530 | Yvonne Warner | Counselor | 2076 S Higley Rd, Gilbert, AZ 85295-4793 | 2008-01-18 |
| 1851577910 | Dena Elise Morgan | Counselor | 2069 E De La Torre Dr, Gilbert, AZ 85295-5805 | 2008-01-18 |
| 1942486006 | Jennifer Williams | Counselor | 4351 S Ranch House Pkwy, Gilbert, AZ 85297-7049 | 2008-01-18 |
| 1013194000 | Lauretta E Clark | Counselor | 4068 E Pecos Rd, Gilbert, AZ 85295-2529 | 2008-01-22 |
| 1922284082 | Mike J Hopaczylo | Counselor | 2935 S Recker Rd, Gilbert, AZ 85295-7846 | 2008-01-18 |
| 1588840649 | Eric C Kunik | Counselor | 2935 S Recker Rd, Gilbert, AZ 85295-7846 | 2008-01-18 |
| 1760668826 | Phaedra Kunik | Counselor | 2935 S Recker Rd, Gilbert, AZ 85295-7846 | 2008-01-18 |
| 1114103272 | Chantel Lanae Ellsworth | Counselor | 2935 S Recker Rd, Gilbert, AZ 85295-7846 | 2008-01-18 |
| 1962545152 | Annabelle Doran | Counselor | 140 S Gilbert Rd, Gilbert, AZ 85296-1016 | 2007-02-15 |
| Find all providers in GILBERT | ||||
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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.