KEVIN JESSUP LAC
NPI 1003328865
Counselor - Mental Health in Phoenix, AZ

Q: What is Kevin Jessup's NPI number?

The NPI number for Kevin Jessup is 1003328865. It was assigned to this individual provider in the NPPES registry on November 1, 2017.

Q: What is Kevin Jessup's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Jessup was last updated on November 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 01, 2017

4214 N 19TH PL, PHOENIX, AZ 85016(602) 460-5350 Get Directions Write a Review

NPPES record last updated: November 1, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kevin Jessup Lac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN JESSUP LAC (NPI 1003328865) is an individual mental health provider in Phoenix, Arizona, licensed in Arizona (LAC-14006) and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1003328865

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameKEVIN JESSUPCredential: LAC

Location Address4214 N 19TH PLPhoenix, AZ 85016-5427

Mailing Address4214 N 19th PlPhoenix, AZ 85016-5427 · (602) 460-5350

Phone(602) 460-5350

Sole ProprietorYes

Enumeration DateNovember 1, 2017

✔ NPI 1003328865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in AZ · LAC-14006

4214 N 19TH PL, Phoenix, AZ 85016

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Jessup's NPI number?

The NPI number for Kevin Jessup is 1003328865. It was assigned to this individual provider in the NPPES registry on November 1, 2017.

Where is Kevin Jessup located?

Kevin Jessup practices at 4214 N 19th Pl, Phoenix, AZ 85016. The listed phone number is (602) 460-5350.

What is Kevin Jessup's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kevin Jessup was last updated on November 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.