Jennifer Dawn Masonis, CADC II ICADC A06436

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

10989 Bluffside Dr Apt 3104
Studio City, CA 91604-4406

Phone

(951) 834-8808

NPI assigned

Jun 18, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Dawn Ballinger Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1043053747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10989 BLUFFSIDE DR APT 3104",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916044406",
            "telephone_number": "951-834-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10989 BLUFFSIDE DR APT 3104",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916044406",
            "telephone_number": "951-834-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASONIS",
        "first_name": "JENNIFER",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "CADC II ICADC A06436",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BALLINGER",
            "middle_name": "DAWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Harry Herant Markarian, D.D.S.
• Mario Anonio Marlow
• Jacqueline Marquez, OTR/L
• Rochelle Martirosian
• Adrine Martirosyan, RPH
• Rebecca Masor
• Robert John Matyas II, D.O.
• Mavi Home Health
• Mavi Hospice
• Tracy Jameson Maxwell

• Addiction (Substance Use Disorder) Counselor in Studio City, CA
• Providers in Studio City, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.