Jacqueline Taylor, B.A., HUMAN SERVICES

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

3601 Calle Tecate Ste 201
Camarillo, CA 93012-5056

Phone

(805) 289-0120

NPI assigned

Jan 13, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aspira Foster & Family Services - Ventura

  • Community/Behavioral Health Agency
  • Camarillo, CA
  • NPI 1215071899
  NPD
• Aspiranet

  • Community/Behavioral Health Agency
  • Camarillo, CA
  • NPI 1255130993
  NPD

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1053951624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 CALLE TECATE STE 201",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125056",
            "telephone_number": "805-289-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 CALLE TECATE STE 201",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125056",
            "telephone_number": "805-289-0120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1483 Alva St",
            "address_purpose": "LOCATION",
            "city": "Carpinteria",
            "state": "CA",
            "postal_code": "930131501",
            "country_code": "US",
            "telephone_number": "805-566-0299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JACQUELINE",
        "credential": "B.A., HUMAN SERVICES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-13",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jackiet@4k2konline.org",
            "affiliation": "N",
            "address_1": "1483 Alva St",
            "city": "Carpinteria",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930131501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michinori Tao, DC
• Julia Tarver, RN
• Fasi Taufi
• Corinna Marie Taylor
• Ignelly Taylor, RBT
• Jessica Lynne Taylor
• Jon Wayne Taylor
• Teri Ann Taylor, MFT
• Tianee Colleen Taylor
• Tyler Thomas Taylor, D.C.

• Rehabilitation Practitioner in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; 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.