Individual provider

Jeffrey Jirak, LPC, LISAC

Mental Health Counselor Addiction (Substance Use Disorder) Counselor Medicare enrolled

Jeffrey Jirak, LPC, LISAC is a Mental Health Counselor in Glendale, AZ, registered under NPI 1063565455. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 11851 N 51ST AVE STE B110, Glendale, AZ 85304. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

11851 N 51ST AVE STE B110, Glendale, AZ 85304 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
LPC-2320 AZ Mental Health Counselor primary
LISAC-10590 AZ Addiction (Substance Use Disorder)…

This provider holds licence LPC-2320 issued in AZ. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Mental Health Counselor
PAC ID
6103278940

Medicare enrolment is recorded as approved under the provider type Practitioner - Mental Health Counselor. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Mental Health covers

Definition to come... NUCC Health Care Provider Taxonomy, code 101YM0800X
Behavioral Health & Social Service Providers Counselor Mental Health

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
101YM0800X Mental Health Counselor Mental Health LPC-2320 AZ primary
101YA0400X Addiction (Substance Use Disorder) Counselor Addiction (Substance Use Disorder) LISAC-10590 AZ

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1063565455 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJan 19, 2007
Last updatedMay 11, 2023
StatusActive
Sole proprietorYes
CredentialLPC, LISAC
Practice address 11851 N 51ST AVE STE B110
Glendale, AZ 85304
(480) 882-4545
Fax (623) 773-2267
Mailing address 7500 N DREAMY DRAW DR STE 145
Phoenix, AZ 85020
Other identifiers 646316 (AZ)
The last update on file is May 11, 2023. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1063565455 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 6 3 5 6 5 4 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 3 3 1 6 1 4 1

Sum = 45 · next multiple of 10 = 50 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1063565455?
NPI 1063565455 is the National Provider Identifier assigned to Jeffrey Jirak, LPC, LISAC in Glendale, AZ. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Mental Health cover?
Definition to come...
How do I contact Jeffrey Jirak, LPC, LISAC?
The phone number on file with NPPES is (480) 882-4545, last updated May 11, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Jeffrey Jirak, LPC, LISAC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1063565455 a valid number?
Yes. 1063565455 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.