JENNA JOANN- MAE ROBERTSON NPI 1154117372

NPI Information

  • NPI: 1154117372
  • Provider Name: JENNA JOANN- MAE ROBERTSON
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 20185 E OCOTILLO RD STE 102
    QUEEN CREEK, AZ
    ZIP 85142
  • Phone: (480) 927-3632

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NPI Details

Jenna Joann- Mae Robertson is a professional counselor in Queen Creek, AZ with 5 years of experience. Jenna Joann- Mae Robertson NPI is 1154117372. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

20185 E OCOTILLO RD STE 102
QUEEN CREEK, AZ
ZIP 85142-663
Phone: (480) 927-3632

The NPI 1154117372 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 4/15/2025 and was last updated on 7/29/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthLAC-19124ARIZONANo
2101YP2500XCounselorProfessionalLPC-24023ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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