JESSICA A JACUPKE LAC
NPI 1891266979
Counselor - Mental Health in Mesa, AZ
About Jessica A Jacupke Lac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA A JACUPKE LAC (NPI 1891266979) is an individual mental health provider in Mesa, Arizona, licensed in Arizona (LAC-19519) and active in the NPI registry since December 2018. She has opted out of Medicare through February 17, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Jessica A Jacupke Lac 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 February 17, 2026 through February 17, 2028.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jessica Jacupke's NPI number?
The NPI number for Jessica Jacupke is 1891266979. It was assigned to this individual provider in the NPPES registry on December 16, 2018.
Where is Jessica Jacupke located?
Jessica Jacupke practices at 3740 E Southern Ave Ste 209, Mesa, AZ 85206. The listed phone number is (480) 577-7561.
What is Jessica Jacupke's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jessica Jacupke enrolled in Medicare?
No. Jessica Jacupke has opted out of Medicare through February 17, 2028. 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 Jessica Jacupke was last updated on May 8, 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.
# Jessica A Jacupke, LAC · NPI 1891266979
Mental Health provider in Mesa, Arizona. Individual provider, active in the CMS NPPES registry since December 16, 2018.
## Identity
- **NPI:** 1891266979 (Entity type: Individual)
- **Enumerated:** December 16, 2018
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** LAC-19519 (Arizona)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3740 E SOUTHERN AVE STE 209, Mesa, AZ 85206-2512
- **Phone:** (480) 577-7561
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through February 17, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** May 8, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1891266979) · Data from the CMS NPPES public registry.