Active NPI
Saxen James Martin-Jensen, APCC, CADC
- Mental Health Counselor
- San Luis Obispo, CA
National Provider Identifier
1073150793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- APCC16695
- Practice address
- 1011 Pacific St
San Luis Obispo, CA 93401-3600 - Phone
- (805) 270-5830
- NPI assigned
- Dec 1, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | APCC16695 | CA | Primary |
Addresses
Primary practice location
1011 Pacific St
San Luis Obispo, CA 93401-3600
Mailing address
2605 La Gracia Cir Unit 207
Atascadero, CA 93422-1926
Phone (805) 863-7084
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 |
|---|---|---|---|
| APCC16695 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alexann Calabash Masiko-Meyer Summer Sessions Counseling | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Locations
1011 Pacific St
San Luis Obispo, CA 93401
Phone (805) 270-5830
Organizations & group practices 1
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.
-
dba Summer Sessions Counseling
- Mental Health Counselor
- San Luis Obispo, CA
- NPI 1841919073
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717718400000",
"number": "1073150793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2605 LA GRACIA CIR UNIT 207",
"city": "ATASCADERO",
"state": "CA",
"postal_code": "934221926",
"telephone_number": "805-863-7084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 PACIFIC ST",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934013600",
"telephone_number": "805-270-5830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN-JENSEN",
"first_name": "SAXEN",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "APCC, CADC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-01",
"last_updated": "2024-06-07",
"certification_date": "2024-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "APCC16695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.