Individual provider Active NPI

Jean Marie Janu, M.A., LPCC

  • Mental Health Counselor
  • Tierra Amarilla, NM
National Provider Identifier
1063767085
Registry record updated Mar 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
179641 Issued in NM
Practice address
US Hwy 84 County Rd. 324 #14
Tierra Amarilla, NM 87575
Phone
(575) 588-9506
NPI assigned
Jul 16, 2012
Last updated
Mar 18, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 179641 NM Primary

Addresses

Primary practice location

US Hwy 84 County Rd. 324 #14
Tierra Amarilla, NM 87575

Mailing address

PO Box 250
Tierra Amarilla, NM 87575-0250
Phone (575) 588-7252

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
179641NMMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458259200000",
    "number": "1063767085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250",
            "city": "TIERRA AMARILLA",
            "state": "NM",
            "postal_code": "875750250",
            "telephone_number": "575-588-7252",
            "fax_number": "575-588-9132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "US HWY 84 COUNTY RD. 324 #14",
            "city": "TIERRA AMARILLA",
            "state": "NM",
            "postal_code": "87575",
            "telephone_number": "575-588-9506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANU",
        "first_name": "JEAN",
        "middle_name": "MARIE",
        "credential": "M.A., LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-16",
        "last_updated": "2016-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "179641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tierra Amarilla, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; 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.