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JEREMY SHOEMAKER LAC
NPI 1457994014
Counselor - Professional in Glendale, AZ

Active since October 25, 2019
5546 W DESERT COVE AVE, GLENDALE, AZ 85304(520) 334-8573 Get Directions Write a Review

NPPES record last updated: October 25, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jeremy Shoemaker Lac NPPES

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

JEREMY SHOEMAKER LAC (NPI 1457994014) is an individual professional provider in Glendale, Arizona, licensed in Arizona (LAC-17240) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1457994014
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJEREMY SHOEMAKERCredential: LAC
Location Address5546 W DESERT COVE AVEGlendale, AZ 85304-3841
Mailing Address5546 W Desert Cove AveGlendale, AZ 85304-3841 · (520) 334-8573
Phone(520) 334-8573
Sole ProprietorYes
Enumeration DateOctober 25, 2019
✔ NPI 1457994014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AZ · LAC-17240
5546 W DESERT COVE AVE, Glendale, AZ 85304
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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 Jeremy Shoemaker's NPI number?

The NPI number for Jeremy Shoemaker is 1457994014. It was assigned to this individual provider in the NPPES registry on October 25, 2019.

Where is Jeremy Shoemaker located?

Jeremy Shoemaker practices at 5546 W Desert Cove Ave, Glendale, AZ 85304. The listed phone number is (520) 334-8573.

What is Jeremy Shoemaker'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 Jeremy Shoemaker was last updated on October 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.