Jessi Frances Blank, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

10526 Issued in CA

Practice address

15233 Ventura Blvd Ste 1208
Sherman Oaks, CA 91403-2271

Phone

(626) 788-3065

NPI assigned

Aug 25, 2023

Sex

Female

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Emanate Professional Clinical Counselor Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Simi Valley, CA
  • NPI 1265189831
  NPD Authorized official

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

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1194500504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7269",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914097269",
            "telephone_number": "162-678-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15233 VENTURA BLVD STE 1208",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032271",
            "telephone_number": "626-788-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANK",
        "first_name": "JESSI",
        "middle_name": "FRANCES",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "10526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanequa Black
• April Lorisa Blair, M.A., L.M.F.T.
• Steve Blakeslee
• Marissa Blanco
• Aimee Lara Blank
• Steven Charles Bleier, D.D.S.
• Alexandra Jeannette Block, LMFT
• Eileen T Bloom, LMFT
• Bloome, Inc
• Blooming Steps Physical Therapy

• Mental Health Counselor in Sherman Oaks, CA
• Providers in Sherman Oaks, 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 Aug 25, 2023; 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.