NPIMap

Organization Active NPI

Counseling & Behavioral Specialists, Afcc

  • Clinical Social Worker
  • La Mesa, CA
National Provider Identifier
1063637015
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
COUNSELING & BEHAVIORAL SPECIALISTS, AFCC
Practice address
9029 Park Plaza Dr
Suite #101
La Mesa, CA 91942-3436
Phone
(619) 697-0470
Fax
(619) 697-0505
NPI assigned
Apr 16, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mrs. Jordanna Fern Wasilesku, MFT, RPT-S
Title
Owner
Phone
(619) 697-0470

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary
Marriage & Family Therapist 106H00000X NU

Addresses

Primary practice location

9029 Park Plaza Dr
Suite #101
La Mesa, CA 91942-3436

Mailing address

9029 Park Plaza Dr
Suite #101
La Mesa, CA 91942-3436
Phone (619) 697-0470

National Provider Directory

National Provider Directory

Locations

9029 Park Plaza Dr
Ste 101
La Mesa, CA 91942
Phone (619) 354-9380

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1063637015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9029 PARK PLAZA DR",
            "address_2": "SUITE #101",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423436",
            "telephone_number": "619-697-0470",
            "fax_number": "619-697-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9029 PARK PLAZA DR",
            "address_2": "SUITE #101",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423436",
            "telephone_number": "619-697-0470",
            "fax_number": "619-697-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING & BEHAVIORAL SPECIALISTS, AFCC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WASILESKU",
        "authorized_official_first_name": "JORDANNA",
        "authorized_official_middle_name": "FERN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-697-0470",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MFT, RPT-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.