ANDRES NICHOLAS JARAMILLO LPC
NPI 1861764466
Counselor - Mental Health in Phoenix, AZ

Active since January 30, 2012
4131 N 24TH ST STE B102, PHOENIX, AZ 85016(480) 882-4545(602) 381-1341 Get Directions Write a Review

NPPES record last updated: January 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andres Nicholas Jaramillo Lpc NPPES

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

ANDRES NICHOLAS JARAMILLO LPC (NPI 1861764466) is an individual mental health provider in Phoenix, Arizona, licensed in Arizona (LPC-17933) and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1861764466
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameANDRES NICHOLAS JARAMILLOCredential: LPC
Location Address4131 N 24TH ST STE B102Phoenix, AZ 85016-6231
Mailing Address7500 N Dreamy Draw Dr Ste 145Phoenix, AZ 85020-4668 · (480) 882-4545 · Fax (480) 882-5814
Fax(602) 381-1341
Sole ProprietorYes
Enumeration DateJanuary 30, 2012
Last NPPES UpdateJanuary 27, 2023
NPPES CertifiedJanuary 27, 2023
NPI 1861764466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in AZ · LPC-17933
Also ListedCounselorTaxonomy 101Y00000X
4131 N 24TH ST STE B102, Phoenix, AZ 85016

Other Identifiers 1

Medicaid506403AZ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 19

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

Family Medicine
4131 N 24TH ST STE B102
PHOENIX, AZ 85016
Nurse Practitioner (Family)
4131 N 24TH ST STE B102
PHOENIX, AZ 85016
Clinic/Center (Federally Qualified Health Center (FQHC))
4131 N 24TH ST STE B102
PHOENIX, AZ 85016
Counselor (Mental Health)
4131 N 24TH ST STE B102
PHOENIX, AZ 85016
Nurse Practitioner (Family)
4131 N 24TH ST STE B102
PHOENIX, AZ 85016
Nurse Practitioner (Family)
4131 N 24TH ST STE B102
PHOENIX, AZ 85016
Family Medicine
4131 N 24TH ST STE B102
PHOENIX, AZ 85016
Internal Medicine
4131 N 24TH ST STE B102
PHOENIX, AZ 85016

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 Andres Jaramillo's NPI number?

The NPI number for Andres Jaramillo is 1861764466. It was assigned to this individual provider in the NPPES registry on January 30, 2012.

Where is Andres Jaramillo located?

Andres Jaramillo practices at 4131 N 24th St Ste B102, Phoenix, AZ 85016. The listed phone number is (480) 882-4545.

What is Andres Jaramillo'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 Andres Jaramillo was last updated on January 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.