Active NPI
Alabunmi A.M. Jones, LCSW
- Mental Health Counselor
- San Pedro, CA
National Provider Identifier
1053899252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 28649 S Western Ave Unit 6302
San Pedro, CA 90734-0128 - Phone
- (424) 271-5149
- NPI assigned
- Jul 31, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 70072 | CA | |
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
28649 S Western Ave Unit 6302
San Pedro, CA 90734-0128
Mailing address
28649 S Western Ave Unit 6302
San Pedro, CA 90734-0128
Phone (424) 271-5149
Other names 1
- Amanda Michelle Jones
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70072 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711929600000",
"number": "1053899252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28649 S WESTERN AVE UNIT 6302",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907340128",
"telephone_number": "424-271-5149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28649 S WESTERN AVE UNIT 6302",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907340128",
"telephone_number": "424-271-5149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "ALABUNMI",
"middle_name": "A.M.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-31",
"last_updated": "2024-04-01",
"certification_date": "2024-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "70072",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "JONES",
"middle_name": "MICHELLE",
"credential": "ASW",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in San Pedro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.