Organization Active NPI

Jubilee Mental Health Group, a Professional Nursing Organization

  • Psychiatric/Mental Health Registered Nurse
  • Irvine, CA
National Provider Identifier
1174399935
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
Legal business name
JUBILEE MENTAL HEALTH GROUP, A PROFESSIONAL NURSING ORGANIZATION
Practice address
15615 Alton Pkwy Ste 450
Irvine, CA 92618-3308
Phone
(949) 228-9607
Fax
(714) 202-8858
NPI assigned
Dec 1, 2023
Last updated
Nov 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Authorized official

Name
Mr. Kevin Wesley Lu, PMHNPNPI 1225753460
Title
President
Phone
(949) 228-9607

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X NU Primary

Addresses

Primary practice location

15615 Alton Pkwy Ste 450
Irvine, CA 92618-3308

Mailing address

15615 Alton Pkwy Ste 450
Irvine, CA 92618-3308
Phone (949) 228-9607

Other practice location 1

16755 Von Karman Ave Ste 200
Irvine, CA 92606-4963
Phone (714) 202-8858

National Provider Directory

National Provider Directory

Locations

15615 Alton Pkwy
Ste 450
Irvine, CA 92618
Phone (949) 689-5402

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1174399935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15615 ALTON PKWY STE 450",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183308",
            "telephone_number": "949-228-9607",
            "fax_number": "714-202-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15615 ALTON PKWY STE 450",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183308",
            "telephone_number": "949-228-9607",
            "fax_number": "714-202-8858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16755 Von Karman Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926064963",
            "country_code": "US",
            "telephone_number": "714-202-8858",
            "fax_number": "714-202-8858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JUBILEE MENTAL HEALTH GROUP, A PROFESSIONAL NURSING ORGANIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-01",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A",
        "authorized_official_last_name": "LU",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-228-9607",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.

Verify at the official NPI Registry.