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JOLENE JACQUART PHD
NPI 1679237903
Psychologist - Cognitive & Behavioral in Tucson, AZ

Active since October 22, 2021Opted out of Medicare · through Jan 6, 2027
3075 N SWAN RD STE 206, TUCSON, AZ 85712(520) 230-1065 Get Directions Write a Review

NPPES record last updated: October 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 20, 2023, Oct 22, 2021 (2 updates tracked since 2021).

About Jolene Jacquart Phd NPPES

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

JOLENE JACQUART PHD (NPI 1679237903) is an individual cognitive & behavioral provider in Tucson, Arizona, licensed in Arizona (5349) and active in the NPI registry since October 2021. She has opted out of Medicare through January 6, 2027.

NPPES Registry Identity

NPI1679237903
Entity TypeIndividualFemale
Primary Taxonomy103TB0200X
Provider Legal NameJOLENE JACQUARTCredential: PHD
Location Address3075 N SWAN RD STE 206Tucson, AZ 85712-1259
Mailing Address3075 N Swan Rd Ste 206Tucson, AZ 85712-1259 · (520) 230-1065
Phone(520) 230-1065
Sole ProprietorYes
Enumeration DateOctober 22, 2021
Last NPPES UpdateOctober 20, 20232 updates tracked since enumeration
NPPES CertifiedJune 5, 2023
✔ NPI 1679237903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers
Taxonomy Code103TB0200X
License✔ Licensed in AZ · 5349
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
3075 N SWAN RD STE 206, Tucson, AZ 85712
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jolene Jacquart Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 6, 2023 through January 6, 2027.

Opt-Out Effective DateJanuary 6, 2023
Opt-Out In Effect ThroughJanuary 6, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

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

MANZANITA MIND INSTITUTE PLLC
Nurse Practitioner (Psychiatric/Mental Health)
3075 N SWAN RD STE 206
TUCSON, AZ 85712
Pima County (520) 230-1065

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 Jolene Jacquart's NPI number?

The NPI number for Jolene Jacquart is 1679237903. It was assigned to this individual provider in the NPPES registry on October 22, 2021.

Where is Jolene Jacquart located?

Jolene Jacquart practices at 3075 N Swan Rd Ste 206, Tucson, AZ 85712. The listed phone number is (520) 230-1065.

What is Jolene Jacquart's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

Is Jolene Jacquart enrolled in Medicare?

No. Jolene Jacquart has opted out of Medicare through January 6, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jolene Jacquart was last updated on October 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.