KAYLA JEAN JARRED PSYCHOLOGY ASSISTANT
NPI 1912553314
Psychologist in Phoenix, AZ

Active since August 13, 2019PECOS Enrolled
1110 E MISSOURI AVE STE 340, PHOENIX, AZ 85014(855) 284-7483 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 22, 2023, Aug 13, 2019 (2 updates tracked since 2019).

About Kayla Jean Jarred Psychology Assistant NPPES

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

KAYLA JEAN JARRED PSYCHOLOGY ASSISTANT (NPI 1912553314) is an individual psychologist in Phoenix, Arizona, licensed in Arizona (PSY-005660) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Gallipolis.

NPPES Registry Identity

NPI1912553314
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameKAYLA JEAN JARREDCredential: PSYCHOLOGY ASSISTANT
Location Address1110 E MISSOURI AVE STE 340Phoenix, AZ 85014-2753
Mailing AddressPo Box 748465Atlanta, GA 30374-8465 · (855) 284-7483
Sole ProprietorNo
Enumeration DateAugust 13, 2019
Last NPPES UpdateJune 22, 20232 updates tracked since enumeration
NPPES CertifiedJune 19, 2023
✔ NPI 1912553314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in AZ · PSY-005660
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1110 E MISSOURI AVE STE 340, Phoenix, AZ 85014

Secondary Practice Location 1

Location 13086 State Route 160Gallipolis, OH 45631-8409 · Phone (740) 446-5500 · Fax (740) 446-4951

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kayla Jean Jarred Psychology Assistant is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Kayla Jarred reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health
801 E DOUGLAS AVE FL 2
Wichita, KS 67202
  • Reassigned Medicare billing, Kansas enrollment
  • 102 clinicians in this Medicare group
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Arizona enrollment
  • 532 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

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

Counselor (Professional)
1110 E MISSOURI AVE STE 340
PHOENIX, AZ 85014
Social Worker (Clinical)
1110 E MISSOURI AVE STE 340
PHOENIX, AZ 85014
Counselor (Professional)
1110 E MISSOURI AVE STE 340
PHOENIX, AZ 85014
Nurse Practitioner (Psychiatric/Mental Health)
1110 E MISSOURI AVE STE 340
PHOENIX, AZ 85014
Counselor (Professional)
1110 E MISSOURI AVE STE 340
PHOENIX, AZ 85014

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 Kayla Jarred's NPI number?

The NPI number for Kayla Jarred is 1912553314. It was assigned to this individual provider in the NPPES registry on August 13, 2019.

Where is Kayla Jarred located?

Kayla Jarred practices at 1110 E Missouri Ave Ste 340, Phoenix, AZ 85014. The listed phone number is (855) 284-7483.

What is Kayla Jarred's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Kayla Jarred enrolled in Medicare?

Yes. Kayla Jarred is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kayla Jarred's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kayla Jarred reassigns Medicare benefits to 2 organizations: Grow Healthcare Group Of Kansas PA (Wichita, KS) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kayla Jarred's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kayla Jarred accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Texas, CareSource and Cigna HealthCare of Arizona, Inc and 2 other insurers list Kayla Jarred as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kayla Jarred was last updated on June 22, 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.