Active NPI
Yumiko Ogawa
- Mental Health Counselor
- San Diego, CA
National Provider Identifier
1144308362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 37PC 00469600
- Practice address
- 6061 Mission Gorge Rd
Suite 200
San Diego, CA 92120-4007 - Phone
- (619) 281-3706
- Fax
- (619) 281-3714
- NPI assigned
- Nov 2, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 20232 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Mental Health Counselor | 101YM0800X | 37PC 00469600 | NJ | Primary |
Addresses
Primary practice location
6061 Mission Gorge Rd
Suite 200
San Diego, CA 92120-4007
Mailing address
83 Wayne St
Suite 302
Jersey City, NJ 07302-3513
Phone (201) 332-5297
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 84975L | Other | TX | BLUE CROSS OF TX . |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC 00469600 | NJ | MD | Mental Health Counselor |
| 20232 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426118400000",
"number": "1144308362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "83 WAYNE ST",
"address_2": "SUITE 302",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073023513",
"telephone_number": "201-332-5297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6061 MISSION GORGE RD",
"address_2": "SUITE 200",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921204007",
"telephone_number": "619-281-3706",
"fax_number": "619-281-3714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGAWA",
"first_name": "YUMIKO",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2015-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "20232",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "37PC 00469600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF TX .",
"identifier": "84975L",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.