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JUBILEE LEADERSHIP ACADEMY
NPI 1477940419
Community/Behavioral Health in Prescott, WA

Active since April 16, 2015
29 JUBILEE CIR, PRESCOTT, WA 99348(509) 749-2103 Get Directions Write a Review

NPPES record last updated: April 17, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jubilee Leadership Academy NPPES

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

JUBILEE LEADERSHIP ACADEMY (NPI 1477940419) is a healthcare organization registered as a community/behavioral health in Prescott, Washington and active in the NPI registry since April 2015. The organization lists Kendall Todd Wagner, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1477940419
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameJUBILEE LEADERSHIP ACADEMY
Location Address29 JUBILEE CIRPrescott, WA 99348-8607
Mailing Address29 Jubilee CirPrescott, WA 99348-8607 · (509) 749-2103
Phone(509) 749-2103
Organization SubpartNo
Authorized OfficialKendall Todd WagnerClinical Director · (509) 749-2103
Enumeration DateApril 16, 2015
Last NPPES UpdateApril 17, 2015
✔ NPI 1477940419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
29 JUBILEE CIR, Prescott, WA 99348
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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 Jubilee Leadership Academy's NPI number?

The NPI number for Jubilee Leadership Academy is 1477940419. It was assigned to this organization in the NPPES registry on April 16, 2015.

Where is Jubilee Leadership Academy located?

Jubilee Leadership Academy is located at 29 Jubilee Cir, Prescott, WA 99348. The listed phone number is (509) 749-2103.

What is Jubilee Leadership Academy's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Jubilee Leadership Academy was last updated on April 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.