Active NPI
Jeannette York, MA
- Mental Health Counselor
- Burbank, CA
National Provider Identifier
1245560598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 47797
- Practice address
- 210 Pass Avenue
Suite 203
Burbank, CA 91505-4073 - Phone
- (818) 669-8066
- NPI assigned
- Jan 9, 2010
- 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 | 47797 | CA | Primary |
Addresses
Primary practice location
210 Pass Avenue
Suite 203
Burbank, CA 91505-4073
Mailing address
210 N Pass Ave
Suite 203
Burbank, CA 91505-3989
Phone (818) 669-8066
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47797 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271116800000",
"number": "1245560598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 N PASS AVE",
"address_2": "SUITE 203",
"city": "BURBANK",
"state": "CA",
"postal_code": "915053989",
"telephone_number": "818-669-8066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 PASS AVENUE",
"address_2": "SUITE 203",
"city": "BURBANK",
"state": "CA",
"postal_code": "915054073",
"telephone_number": "818-669-8066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YORK",
"first_name": "JEANNETTE",
"name_prefix": "Ms.",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-09",
"last_updated": "2010-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "47797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.