MEDICARE: MS. MORGAN RENEE JACKSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LPC-23522	AZ

General Provider Information

NPI Number	:	1790556926
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MORGAN RENEE JACKSON

Provider Business Mailing Address
First Line	:	5210 W MONTE CRISTO AVE
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85306-2507
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5210 W MONTE CRISTO AVE
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85306-2507
Country	:	US
Telephone Number	:	623-377-5562
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/16/2024
Last Update Date	:	03/10/2025

Similar Medicare Providers

1770120305 — EMPOWER PHOENIX LLC
Practice Location Address:

14627 N 60TH AVE
GLENDALE, AZ
85306-3805

Practice Phone: 928-233-6263
Practice Fax: 480-781-4464

1881525111 — PHUC NGUY
Practice Location Address:

5701 W TALAVI BLVD
GLENDALE, AZ
85306-1886

Practice Phone: 855-223-7123
Practice Fax:

1912839580 — DR. CHRISTOPHER JUSTIN MICU
Practice Location Address:

5422 W THUNDERBIRD RD
GLENDALE, AZ
85306-4700

Practice Phone: 480-564-4957
Practice Fax:

1053240895 — NINA HOEDEBECK
Practice Location Address:

5701 W TALAVI BLVD
GLENDALE, AZ
85306-1886

Practice Phone: 855-223-7123
Practice Fax:

1487962445 — MRS. LEIGH CASABIANCA PA-C
Practice Location Address:

5555 W THUNDERBIRD RD
GLENDALE, AZ
85306-4622

Practice Phone: 602-588-5555
Practice Fax:

1558290056 — BRENDA LUNA MALDONADO
Practice Location Address:

5701 W TALAVI BLVD
GLENDALE, AZ
85306-1886

Practice Phone: 855-223-7123
Practice Fax:

Directions to “ MS. MORGAN RENEE JACKSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.