Jacob Nathan Botello

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

AMFT134787 Issued in CA

Practice address

530 Kings County Dr., Ste 104/106
Hanford, CA 93230

Phone

(559) 754-3128

NPI assigned

Sep 29, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1144944505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 KINGS COUNTY DR., STE 104/106",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "93230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 KINGS COUNTY DR., STE 104/106",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "93230",
            "telephone_number": "559-754-3128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTELLO",
        "first_name": "JACOB",
        "middle_name": "NATHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "AMFT134787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tylo Boggs, LVN
• Laurie A. Bolt, NP
• Jennifer Bonds, ASW
• Megan Diane Bookwalter
• Jeremy Borcherding
• Larissa Monique Botello
• Sameh Boulos, RPH.
• Shannon Bowman
• Ronald Eugene Bown, LLMSW
• Parvinderjeet Kaur Boyal

• Mental Health Counselor in Hanford, CA
• Providers in Hanford, 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 Sep 29, 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.