MRS. JAQUELINE MARIA FALLON OJALA


Address: 6015 W Peoria Ave, Glendale, AZ 85302-1213
Phone: 6233442861

MRS. JAQUELINE MARIA FALLON OJALA (NPI# 1972161982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972161982
Entity Type Individual
Full Name MRS. JAQUELINE MARIA FALLON OJALA
Credential MC, LISAC, LAC
Practice Address 6015 W Peoria Ave
Glendale
AZ 85302-1213
Practice Telephone 6233442861
Practice Fax Number 6233444449
Mailing Telephone 6233442861
Enumeration Date 2019-06-04
Last Update Date 2019-06-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
4020 N 20th St Ste 302, Phoenix, AZ 850166032 6025356468

Office Location

Street Address 6015 W PEORIA AVE
City GLENDALE
State AZ
Zip Code 85302-1213

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871532697 Gwen A Levitt Psychiatry & Neurology 6015 W Peoria Ave, Glendale, AZ 85302-1213 2006-06-06
1730682840 Erica Jo Leffler Social Worker 6015 W Peoria Ave, Glendale, AZ 85302-1213 2018-03-15
1962900050 Danielle Kay Patton Counselor 6015 W Peoria Ave, Glendale, AZ 85302-1213 2018-01-24
1730624693 Pedram Amani, Md, Pllc Psychiatry & Neurology 6015 W Peoria Ave, Glendale, AZ 85302-1213 2017-01-03
1962802801 Aurora Behavioral Health Systems, LLC Psychiatry & Neurology 6015 W Peoria Ave, Glendale, AZ 85302-1213 2014-08-28
1275829061 Institutional Pharmacy Solutions LLC Pharmacy 6015 W Peoria Ave, Glendale, AZ 85302-1213 2011-06-21
1982909768 Recovery Insights Pllc Psychiatry & Neurology 6015 W Peoria Ave, Glendale, AZ 85302-1213 2011-01-25
1093019523 Psychiatric Consultation Services PC Psychiatry & Neurology 6015 W Peoria Ave, Glendale, AZ 85302-1213 2010-12-23
1780986976 Alpha Psychiatric Associates Pllc Psychiatry & Neurology 6015 W Peoria Ave, Glendale, AZ 85302-1213 2010-11-22
1285946202 Alpha Psychiatric Associates, P.l.l.c. Psychiatric Unit 6015 W Peoria Ave, Glendale, AZ 85302-1213 2010-07-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235736190 Tyler Davis LLC Psychologist 8607 N 59th Ave Suite C-6, Glendale, AZ 85302 2020-10-05
1679098420 Sidney M Kingery Physical Therapist 5810 W Peoria Ave, Glendale, AZ 85302 2017-08-12
1255877825 Sonoran Sky Community Services Community Based Residential Treatment Facility, Mental Illness 5651 W. Harmont Dr, Glendale, AZ 85302 2017-01-06
1346696382 Megan Mari Byrne Chiropractor 8425 N 61st Dr., Glendale, AZ 85302 2016-05-09
1558742007 Farzan Mojgani Dentist 5929 W. Peoria Ave. Suite 101, Glendale, AZ 85302 2015-06-10
1255757308 Glendale Modern Dentistry, LLP Dentist 5143 West Olive Ave, Suite 140, Glendale, AZ 85302 2014-03-13
1518391341 Crystal Nicole-marie Whitman Physical Therapy Assistant 5411 W. Cinnabar Ave., Glendale, AZ 85302 2013-08-28
1013349570 A New Leaf Clinic/Center 8581 N 61st Ave, Building A, Suite 101-102, Glendale, AZ 85302 2013-08-06
1255602439 Alicia S Fennemore Specialist/Technologist 352 E. Camelback Rd., Suite 102, Phoenix, AZ 85302 2012-01-20
1639306731 Total Medical Care, LLC Clinic/Center 5048 W. Northern Avenue, Suite 105, Glendale, AZ 85302 2009-06-16
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972133387 Yusuf Toliver Counselor 1027 S Central Ave, Suite 200, Glendale, CA 91204 2020-01-24
1295377687 Serenity Preserved Counseling Pllc Counselor 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 2019-10-17
1871144535 Nicole Gordon Counselor 7609 W Rovey Ave, Glendale, AZ 85303-4250 2019-09-24
1407338379 Henry Marshal Tyler Counselor 2505 Canada Blvd Ste 2, Glendale, CA 91208-2089 2018-09-06
1346737111 Janet Ohanian Counselor 915 N Glendale Ave, Glendale, CA 91206-2130 2018-04-17
1881193175 Robin Lynn Puckett Counselor 17505 N 79th Ave Ste 311g, Glendale, AZ 85308-8730 2018-02-01
1538667142 Chelsea Rae Zendarski Counselor 6445 W Maryland Ave Apt 3, Glendale, AZ 85301-3738 2018-01-29
1487165031 Sofia Elvira Philips Counselor 18275 N 59th Ave Ste K-164, Glendale, AZ 85308-1260 2017-10-21
1417301086 Kristi Proch Counselor 21448 N 75th Ave, Suite 11, Glendale, AZ 85308-5978 2016-04-20
1831557065 Arnitta Holliman Counselor 6789 N Green Bay Ave # U14, Glendale, WI 53209-3472 2016-02-02
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Competitor

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City GLENDALE
Zip Code 85302

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Dataset Information

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.

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