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CAROL JERNIGAN PSYD
NPI 1861145740
Counselor in Phoenix, AZ

Active since January 31, 2022
1138 W GLENROSA AVE, PHOENIX, AZ 85013(602) 459-0455 Get Directions Write a Review

NPPES record last updated: January 31, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Carol Jernigan Psyd NPPES

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

CAROL JERNIGAN PSYD (NPI 1861145740) is an individual counselor in Phoenix, Arizona and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1861145740
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameCAROL JERNIGANCredential: PSYD
Location Address1138 W GLENROSA AVEPhoenix, AZ 85013-2810
Mailing Address1138 W Glenrosa AvePhoenix, AZ 85013-2810
Phone(602) 459-0455
Sole ProprietorNo
Enumeration DateJanuary 31, 2022
NPPES CertifiedJanuary 31, 2022
✔ NPI 1861145740 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.

1138 W GLENROSA AVE, Phoenix, AZ 85013
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Frequently Asked Questions

What is Carol Jernigan's NPI number?

The NPI number assigned to this healthcare provider is 1861145740, enumerated as an "individual" on January 31, 2022.

Where is the provider located?

The provider is located at 1138 W GLENROSA AVE PHOENIX, AZ 85013 and the phone number is (602) 459-0455.

What is the provider's specialty?

Counselor with taxonomy code 101Y00000X.