JASON WILLYERD COUNSELING LLC
NPI 1609662477
Counselor in Mesa, AZ

Active since April 17, 2025
4111 E VALLEY AUTO DR STE 201, MESA, AZ 85206(480) 720-8069 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jason Willyerd Counseling Llc NPPES

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

JASON WILLYERD COUNSELING LLC (NPI 1609662477) is a healthcare organization registered as a counselor in Mesa, Arizona and active in the NPI registry since April 2025. The organization lists Jason S Willyerd, Owner, as its authorized official.

NPPES Registry Identity

NPI1609662477
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NameJASON WILLYERD COUNSELING LLC
Location Address4111 E VALLEY AUTO DR STE 201Mesa, AZ 85206-4609
Mailing Address4111 E Valley Auto Dr Ste 201Mesa, AZ 85206-4609 · (480) 720-8069
Organization SubpartNo
Authorized OfficialJason S WillyerdOwner · (480) 720-8069
Enumeration DateApril 17, 2025
NPPES CertifiedApril 17, 2025
✔ NPI 1609662477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
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.
4111 E VALLEY AUTO DR STE 201, Mesa, AZ 85206

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jason Willyerd Counseling Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jason Willyerd Counseling LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mental Health Counselor
NPI 1710201199
2500 S POWER RD STE 120
Mesa, AZ 85209
(480) 720-8069
✔ PECOS✔ Accepts Medicare3.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jason Willyerd Counseling LLC's NPI number?

The NPI number for Jason Willyerd Counseling LLC is 1609662477. It was assigned to this organization in the NPPES registry on April 17, 2025.

Where is Jason Willyerd Counseling LLC located?

Jason Willyerd Counseling LLC is located at 4111 E Valley Auto Dr Ste 201, Mesa, AZ 85206. The listed phone number is (480) 720-8069.

What is Jason Willyerd Counseling LLC's specialty?

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

Is Jason Willyerd Counseling LLC enrolled in Medicare?

Yes. Jason Willyerd Counseling LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jason Willyerd Counseling LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Jason Willyerd Counseling LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jason Willyerd Counseling LLC was last updated on April 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.