Kim Marie Jolicoeur

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

3001-I Issued in CA

Practice address

3350 Education Dr
San Luis Obispo, CA 93405-7816

Phone

(805) 543-7732

NPI assigned

Jan 30, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359504000000",
    "number": "1104164813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5353 OLMEDA AVE",
            "address_2": "1",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934223368",
            "telephone_number": "805-591-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 EDUCATION DR",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934057816",
            "telephone_number": "805-543-7732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLICOEUR",
        "first_name": "KIM",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-30",
        "last_updated": "2013-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "3001-I",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnston Chiropractic Clinic, Inc.
• Jody Johnston, ACSW
• Liz B Johnston, LCSW
• Raymond Marc Johnston, D.C, Q.M.E.
• Tyler Johnston
• Shawn Renee Jones-Bunn, PSY.D.
• Yvonne Dolores Jones-Wicks, PA-C
• Alexandria Marie Jones, PSYCH TECH
• Andrew Arren Jones, RN
• Austin Jones

• Addiction (Substance Use Disorder) Counselor in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; 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.