Individual provider Active NPI

Jeffrey S McNamara, LPCC

  • Professional Counselor
  • Oceanside, CA
National Provider Identifier
1124792650
Registry record updated Aug 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7475 Issued in CA
Practice address
999 N Pacific St Unit E212
Oceanside, CA 92054-2024
Phone
(210) 412-6422
NPI assigned
Aug 7, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 24973 IN
Mental Health Counselor 101YM0800X 7475 CA
Professional Counselor 101YP2500X 7475 CA Primary

Addresses

Primary practice location

999 N Pacific St Unit E212
Oceanside, CA 92054-2024

Mailing address

999 N Pacific St Unit E212
Oceanside, CA 92054-2024
Phone (210) 412-6422

Other identifiers 2

IdentifierTypeStateIssuer
24973OtherINMASTER ADDICTION SPECIALIST
7475OtherPROFESSIONAL LICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Oceanside Direct

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

LicenseStateTypeSpecialty
24973INMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1628294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628294400000",
    "number": "1124792650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 N PACIFIC ST UNIT E212",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920542024",
            "telephone_number": "210-412-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 N PACIFIC ST UNIT E212",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920542024",
            "telephone_number": "210-412-6422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNAMARA",
        "first_name": "JEFFREY",
        "middle_name": "S",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-07",
        "last_updated": "2021-08-07",
        "certification_date": "2021-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "24973",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "7475",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "7475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASTER ADDICTION SPECIALIST",
            "identifier": "24973",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE NUMBER",
            "identifier": "7475",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Oceanside",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "999 N Pacific St Unit E212",
            "city": "Oceanside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920542024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2021; 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.