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JACQUELINE JENDRISAK
NPI 1245083708
Counselor in Prescott, AZ

Active since April 08, 2024
600 E GURLEY ST, PRESCOTT, AZ 86301(000) 000-0000 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 29, 2026, Apr 9, 2024 (2 updates tracked since 2024).

About Jacqueline Jendrisak NPPES

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

JACQUELINE JENDRISAK (NPI 1245083708) is an individual counselor in Prescott, Arizona, licensed in Arizona (LAC-20296) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1245083708
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJACQUELINE JENDRISAK
Location Address600 E GURLEY STPrescott, AZ 86301-3246
Mailing Address600 E Gurley St Ste APrescott, AZ 86301-3246 · (602) 541-2044
Phone(000) 000-0000
Sole ProprietorNo
Enumeration DateApril 8, 2024
Last NPPES UpdateApril 29, 20262 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
✔ NPI 1245083708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in AZ · LAC-20296
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.
600 E GURLEY ST, Prescott, AZ 86301
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Other Providers at the Same Location NPPES

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

RACHELLE M NEWTON
Counselor (Mental Health)
600 E GURLEY ST
PRESCOTT, AZ 86301
Yavapai County (208) 251-3236

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 Jacqueline Jendrisak's NPI number?

The NPI number for Jacqueline Jendrisak is 1245083708. It was assigned to this individual provider in the NPPES registry on April 8, 2024.

Where is Jacqueline Jendrisak located?

Jacqueline Jendrisak practices at 600 E Gurley St, Prescott, AZ 86301. The listed phone number is (000) 000-0000.

What is Jacqueline Jendrisak's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jacqueline Jendrisak was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.