CAROLYN JAEDECKE
NPI 1346193240
Counselor in Phoenix, AZ

Active since February 19, 2026
11201 N TATUM BLVD STE 300, PHOENIX, AZ 85028(602) 704-4796 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carolyn Jaedecke NPPES

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

CAROLYN JAEDECKE (NPI 1346193240) is an individual counselor in Phoenix, Arizona, licensed in Arizona (LPC-17408) and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1346193240
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameCAROLYN JAEDECKE
Location Address11201 N TATUM BLVD STE 300Phoenix, AZ 85028-6039
Mailing Address11201 N Tatum Blvd Ste 300Phoenix, AZ 85028-6039 · (602) 704-4796
Sole ProprietorYes
Enumeration DateFebruary 19, 2026
NPPES CertifiedFebruary 19, 2026
NPI 1346193240 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 · LPC-17408
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.
11201 N TATUM BLVD STE 300, Phoenix, AZ 85028

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

Other Providers at the Same Location NPPES 18

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

Physician Assistant (Medical)
11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
Clinic/Center (Mental Health (Including Community Mental Health Center))
11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
General Practice
11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
Nurse Practitioner
11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
Clinic/Center (Mental Health (Including Community Mental Health Center))
11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
Private Vehicle
11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
Home Health
11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
Psychologist (Counseling)
11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028

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 Carolyn Jaedecke's NPI number?

The NPI number for Carolyn Jaedecke is 1346193240. It was assigned to this individual provider in the NPPES registry on February 19, 2026.

Where is Carolyn Jaedecke located?

Carolyn Jaedecke practices at 11201 N Tatum Blvd Ste 300, Phoenix, AZ 85028. The listed phone number is (602) 704-4796.

What is Carolyn Jaedecke'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 Carolyn Jaedecke was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.