Kulbir K Pooni

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2101 Courage Dr # Ms 10-100
Fairfield, CA 94533-6717

Phone

(707) 784-8602

NPI assigned

Mar 20, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Jessie K Pooni Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1124720537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 BECK AVE",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945336804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 COURAGE DR # MS 10-100",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945336717",
            "telephone_number": "707-784-8602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "355 Tuolumne St # MS 20-210",
            "address_purpose": "LOCATION",
            "city": "Vallejo",
            "state": "CA",
            "postal_code": "945905700",
            "country_code": "US",
            "telephone_number": "707-384-0540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "275 Beck Ave",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CA",
            "postal_code": "945336804",
            "country_code": "US",
            "telephone_number": "707-784-8539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POONI",
        "first_name": "KULBIR",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-20",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSIE",
            "last_name": "POONI",
            "middle_name": "K",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Macayla Josephine Ponce
• Melissa Mary Ponce
• Vanessa-June Ruthchiet Pontillas, NP
• Jenny L Ponting, LCSW
• Caleb Poon
• Hailey Ann Popovich
• Nicole Diana Porter
• Nina Porter, MD
• Theresa Porter, RADT
• Auxsophene L Portier-Jones, PA

• Mental Health Counselor in Fairfield, CA
• Providers in Fairfield, 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 May 23, 2025; 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.