Look up the most recent NPI and PECOS records

Joy Lynn Wynkoop

Counselor

Behavioral Health & Social Service Providers

3509 E Shea Blvd Ste 108, Phoenix, AZ 85028-3338

PECOS Enrollment

Based on the most recent information from CMS, provider Joy Lynn Wynkoop does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1750096400
Provider Type
Individual
Full Name
Wynkoop, Joy Lynn
Credential
LAC

Gender
Female
Sole Proprietor
No
Enumeration Date
1/17/2023
Last Updated
8/5/2024

Contact Information

Practice Location

3509 E Shea Blvd Ste 108, Phoenix, AZ 85028-3338

(480) 744-2176

Unlisted Fax

Mailing Location

19800 N 7th St Apt 2031, Phoenix, AZ 85024-1888

(682) 554-1774

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License LAC-20682 Arizona

Provider Identifiers

ID	Description	Issuer
ID LAC-20682	Description Other	Issuer AZ BOARD OF BEHAVIORAL HEALTH Arizona

Joy Lynn Wynkoop

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Dixon, Lauren

Hitchcock, Colleen Corah

Logan, Aubrey

Gailey, Whisper

Maneth, Tyler

Integrative Mental Health Services Llc

Smith, Megan

Douglas, Anne

Turner, Racheal

Kazemi, Yasmin