Active NPI
Jennifer Anne Prins, L.C.S.W.
- Professional Counselor
- Paso Robles, CA
National Provider Identifier
1134286990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LCS17873
- Practice address
- 1724 Nacimiento Lake Dr
Paso Robles, CA 93446-8710 - Phone
- (805) 440-0467
- Fax
- (805) 226-9962
- NPI assigned
- Jan 2, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LCS17873 | CA | Primary |
Addresses
Primary practice location
1724 Nacimiento Lake Dr
Paso Robles, CA 93446-8710
Mailing address
PO Box 4396
Paso Robles, CA 93447-4396
Phone (805) 440-0467
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17873 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| LCS17873 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1134286990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4396",
"city": "PASO ROBLES",
"state": "CA",
"postal_code": "934474396",
"telephone_number": "805-440-0467",
"fax_number": "805-226-9962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1724 NACIMIENTO LAKE DR",
"city": "PASO ROBLES",
"state": "CA",
"postal_code": "934468710",
"telephone_number": "805-440-0467",
"fax_number": "805-226-9962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRINS",
"first_name": "JENNIFER",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "LCS17873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paso Robles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.