Kandis Jernigan
Individual provider Active NPI Mental Health Counselor · Bell, CA
NPI 1093569709 · NPPES record last updated Apr 17, 2024
Key facts
- NPI
- 1093569709
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 5600 Rickenbacker Rd BLDG 2Ab
Bell, CA 90201-6418 - Phone
- (323) 263-1206
- NPI assigned
- Apr 17, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
5600 Rickenbacker Rd BLDG 2Ab
Bell, CA 90201-6418
Mailing address
444 Muskegon Ave
Calumet City, IL 60409-2348
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- JWCH Institute, Inc
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- Sarmed Mahmood Kamil
All providers in Bell, CA · Mental Health Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.