Active NPI
Jesse S Esqueda, PSY.D.
- Mental Health Counselor
- Westlake Village, CA
National Provider Identifier
1174600175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PSB 34513
- Practice address
- 650 Hampshire Rd
Suite 204
Westlake Village, CA 91361-2510 - Phone
- (805) 309-5032
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- 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 | PSB 34513 | CA | Primary |
Addresses
Primary practice location
650 Hampshire Rd
Suite 204
Westlake Village, CA 91361-2510
Mailing address
650 Hampshire Rd
Suite 204
Westlake Village, CA 91361-2510
Phone (805) 309-5032
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 19, 2023 through Dec 19, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSB 34513 | CA | MD | Mental Health Counselor |
| 27377 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287619200000",
"number": "1174600175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 HAMPSHIRE RD",
"address_2": "SUITE 204",
"city": "WESTLAKE VILLAGE",
"state": "CA",
"postal_code": "913612510",
"telephone_number": "805-309-5032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 HAMPSHIRE RD",
"address_2": "SUITE 204",
"city": "WESTLAKE VILLAGE",
"state": "CA",
"postal_code": "913612510",
"telephone_number": "805-309-5032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESQUEDA",
"first_name": "JESSE",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2010-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "PSB 34513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westlake Village, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.