MOHAVE NEUROFEEDBACK CLINIC, LLC
NPI 1174249015
Counselor - Professional in Kingman, AZ

Q: What is Mohave Neurofeedback Clinic, LLC's NPI number?

The NPI number for Mohave Neurofeedback Clinic, LLC is 1174249015. It was assigned to this organization in the NPPES registry on October 12, 2022. The provider is doing business as Mohave Neurofeedback.

Q: What is Mohave Neurofeedback Clinic, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Active since October 12, 2022

2701 E ANDY DEVINE AVE STE 101, KINGMAN, AZ 86401(928) 263-1045(928) 597-5172 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 17, 2025, Oct 12, 2022 (2 updates tracked since 2022).

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About Mohave Neurofeedback Clinic, Llc NPPES

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

MOHAVE NEUROFEEDBACK CLINIC, LLC (NPI 1174249015), doing business as Mohave Neurofeedback, is a healthcare organization registered as a professional in Kingman, Arizona and active in the NPI registry since October 2022. The organization lists Audra Nicole Jalbert, Owner, Counselor, as its authorized official.

NPPES Registry Identity

NPI1174249015

Entity TypeOrganization

Primary Taxonomy101YP2500X

Legal Business NameMOHAVE NEUROFEEDBACK CLINIC, LLC

Location Address2701 E ANDY DEVINE AVE STE 101Kingman, AZ 86401-4889

Mailing Address2701 E Andy Devine Ave Ste 101Kingman, AZ 86401-4889 · (928) 263-1045 · Fax (928) 597-5172

Phone(928) 263-1045

Fax(928) 597-5172

Organization SubpartNo

Authorized OfficialAudra Nicole JalbertOwner, Counselor · (928) 263-1045

Enumeration DateOctober 12, 2022

Last NPPES UpdateMarch 17, 20252 updates tracked since enumeration

NPPES CertifiedMarch 17, 2025

✔ NPI 1174249015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

2701 E ANDY DEVINE AVE STE 101, Kingman, AZ 86401

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Other Names 1

Doing Business AsMohave Neurofeedback

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Mohave Neurofeedback Clinic, LLC's NPI number?

The NPI number for Mohave Neurofeedback Clinic, LLC is 1174249015. It was assigned to this organization in the NPPES registry on October 12, 2022. The provider is doing business as Mohave Neurofeedback.

Where is Mohave Neurofeedback Clinic, LLC located?

Mohave Neurofeedback Clinic, LLC is located at 2701 E Andy Devine Ave Ste 101, Kingman, AZ 86401. The listed phone number is (928) 263-1045.

What is Mohave Neurofeedback Clinic, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Mohave Neurofeedback Clinic, LLC was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.