Active NPI
Jeanne Marie Sandoval, APCC
- Mental Health Counselor
- Valencia, CA
National Provider Identifier
1073363339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- APCC15802
- Practice address
- 27201 Tourney Rd Ste 200D
Valencia, CA 91355-1855 - Phone
- (747) 900-2204
- NPI assigned
- Mar 26, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | APCC15802 | CA | Primary |
Addresses
Primary practice location
27201 Tourney Rd Ste 200D
Valencia, CA 91355-1855
Mailing address
27201 Tourney Rd Ste 200D
Valencia, CA 91355-1855
Phone (747) 900-2204
Other names 1
- Miss Jeanne Marie Zelasko
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 |
|---|---|---|---|
| APCC15802 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711411200000",
"number": "1073363339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27201 TOURNEY RD STE 200D",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913551855",
"telephone_number": "747-900-2204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27201 TOURNEY RD STE 200D",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913551855",
"telephone_number": "747-900-2204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDOVAL",
"first_name": "JEANNE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "APCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-26",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "APCC15802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JEANNE",
"last_name": "ZELASKO",
"middle_name": "MARIE",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Valencia, CA
- Arsen Samvelian
- Nancy Pak San Antonio, ACSW
- Angela M Sanabria, DDS
- Frank Armando Sanchez, PH.D.
- Ivonne Sandoval
- Sandra Santana, Inc.
- Santa Clarita Ear Nose and Throat Medical Associates
- Santa Clarita Emergency Medical Group Inc
- Santa Clarita Family Optometry, Inc
- Santa Clarita Hearing Center, Incorporated (Santa Clarita Hearing Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.