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JACQUELINE WASTAL
NPI 1669106290
Counselor - Mental Health in Phoenix, AZ

Active since July 11, 2022
5040 E SHEA BLVD #164, PHOENIX, AZ 85028(480) 641-1165 Get Directions Write a Review

NPPES record last updated: July 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jacqueline Wastal NPPES

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

JACQUELINE WASTAL (NPI 1669106290) is an individual mental health provider in Phoenix, Arizona and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1669106290
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJACQUELINE WASTAL
Location Address5040 E SHEA BLVD #164Phoenix, AZ 85028
Mailing Address15740 N 83rd Ave Apt 1035Peoria, AZ 85382-3889 · (760) 500-8839
Phone(480) 641-1165
Sole ProprietorNo
Enumeration DateJuly 11, 2022
NPPES CertifiedJune 11, 2022
✔ NPI 1669106290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X

Other Providers at the Same Location NPPES 2

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

BRENDA KOTIZA
Counselor (Professional)
5040 E SHEA BLVD #164
PHOENIX, AZ 85028
Maricopa County (480) 641-1165
GENEVA ROSS-LYONS
Counselor (Mental Health)
5040 E SHEA BLVD #164
PHOENIX, AZ 85028
Maricopa County (480) 690-9532

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 Wastal's NPI number?

The NPI number for Jacqueline Wastal is 1669106290. It was assigned to this individual provider in the NPPES registry on July 11, 2022.

Where is Jacqueline Wastal located?

Jacqueline Wastal practices at 5040 E Shea Blvd #164, Phoenix, AZ 85028. The listed phone number is (480) 641-1165.

What is Jacqueline Wastal's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jacqueline Wastal was last updated on July 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.