Active NPI
Jessyca R Phichit, MA, LPCC
- Mental Health Counselor
- Toluca Lake, CA
National Provider Identifier
1154124469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 16835
- Practice address
- 4636 Cahuenga Blvd Apt 200
Toluca Lake, CA 91602-1593 - Phone
- (515) 771-0369
- NPI assigned
- Mar 31, 2025
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 16835 | CA | Primary |
Addresses
Primary practice location
4636 Cahuenga Blvd Apt 200
Toluca Lake, CA 91602-1593
Mailing address
4636 Cahuenga Blvd Apt 200
Toluca Lake, CA 91602-1593
Phone (515) 771-0369
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743379200000",
"number": "1154124469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4636 CAHUENGA BLVD APT 200",
"city": "TOLUCA LAKE",
"state": "CA",
"postal_code": "916021593",
"telephone_number": "515-771-0369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4636 CAHUENGA BLVD APT 200",
"city": "TOLUCA LAKE",
"state": "CA",
"postal_code": "916021593",
"telephone_number": "515-771-0369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHICHIT",
"first_name": "JESSYCA",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "MA, LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-03-31",
"last_updated": "2025-03-31",
"certification_date": "2025-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "16835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toluca Lake, CA
- Pema Dental Care
- Nilesh Pema, DDS
- Cynthia Pendley, BSN, RN
- Performance Care Sports Medicine & Rehabilitation Center, Inc.
- Shima Pezeshki, NP
- Plan B Marriage and Family Therapy, Prof. Corp.
- Premiere Medical Center of Burbank, Inc.
- Prime Podiatric Group, Inc
- Privilege DX Medical Laboratories, Inc.
- John Pyle, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.