JEFFREY S JIRAK LPC, LISAC
NPI 1063565455
Counselor - Mental Health in Glendale, AZ

Q: What is Jeffrey Jirak's NPI number?

The NPI number for Jeffrey Jirak is 1063565455. It was assigned to this individual provider in the NPPES registry on January 19, 2007.

Q: What is Jeffrey Jirak'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 Jeffrey Jirak was last updated on May 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 January 19, 2007PECOS Enrolled

11851 N 51ST AVE STE B110, GLENDALE, AZ 85304(480) 882-4545(623) 773-2267 Get Directions Write a Review

NPPES record last updated: May 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jeffrey S Jirak Lpc, Lisac NPPES

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

JEFFREY S JIRAK LPC, LISAC (NPI 1063565455) is an individual mental health provider in Glendale, Arizona, licensed in Arizona (LPC-2320) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063565455

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameJEFFREY S JIRAKCredential: LPC, LISAC

Location Address11851 N 51ST AVE STE B110Glendale, AZ 85304-2823

Mailing Address7500 N Dreamy Draw Dr Ste 145Phoenix, AZ 85020-4668 · (480) 882-4545 · Fax (480) 882-5814

Phone(480) 882-4545

Fax(623) 773-2267

Sole ProprietorYes

Enumeration DateJanuary 19, 2007

Last NPPES UpdateMay 11, 2023

NPPES CertifiedApril 20, 2023

✔ NPI 1063565455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in AZ · LPC-2320

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LISAC-10590 (AZ)

11851 N 51ST AVE STE B110, Glendale, AZ 85304

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Other Identifiers 1

Medicaid646316AZ

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey S Jirak Lpc, Lisac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA RASCON

Nurse Practitioner (Family)