Jessica a Millanponce, Licensed Clinical Social Worker, PC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

JESSICA A MILLANPONCE, LICENSED CLINICAL SOCIAL WORKER, PC

Doing business as

Healthy Minds Wellness Center

Practice address

7290 Navajo Rd Ste 109
San Diego, CA 92119-1631

Phone

(619) 875-1512

NPI assigned

Jul 13, 2022

Organization subpart

No

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

Authorized official

Name

Jessica A Millanponce, LCSWNPI 1275045585

Title

Business Owner

Phone

(760) 983-6684

Specialties & licenses 1

Addresses

Other names 1

• Healthy Minds Wellness Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Ann Millanponce

  • Mental Health Counselor
  • Apple Valley, CA
  • NPI 1275045585
  NPD Authorized official

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1104550359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 710971",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920720971",
            "telephone_number": "760-983-6684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7290 NAVAJO RD STE 109",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921191631",
            "telephone_number": "619-875-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA A MILLANPONCE, LICENSED CLINICAL SOCIAL WORKER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-13",
        "last_updated": "2022-07-13",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "MILLANPONCE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "760-983-6684",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Minds Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catherine Fitzsimons Jervey, PH.D.
• Trisa Jessamy, M.S.,BCBA
• Jesse Tukuafu DPM
• Kara Jessen
• Meagan Jessen
• Jessica Hughes PHD Psychology Inc
• Jessica Lee Chiropractic. Inc
• Jessica Roeber, DDS
• Jessica T Truong DDS & Danny T Truong DDS, Inc
• Cora Jessup

• Mental Health Counselor in San Diego, CA
• Providers in San Diego, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.