Jessica Kathryn Dean, LICSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1733 Issued in NE

Practice address

201 N Backus Ave
Pasadena, CA 91107

Phone

(402) 212-9181

NPI assigned

Jun 25, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: behavenkids.jessicadean@137640.advancedmd-direct.com

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1265694947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6321 S. 79TH CIRCLE",
            "city": "RALSTON",
            "state": "NE",
            "postal_code": "68127",
            "telephone_number": "402-212-9181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N BACKUS AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91107",
            "telephone_number": "402-212-9181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8922 Cuming St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681142732",
            "country_code": "US",
            "telephone_number": "402-926-4373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEAN",
        "first_name": "JESSICA",
        "middle_name": "KATHRYN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-25",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Joy De Surra Muirhead, OTD, OTR/L
• Najee De Tiege-Daigle
• Summer A De Vera
• Amanda Jane De Wolf
• June Nicole Dean Villatoro, LCSW
• Michelle Ashley Dean
• Miles Luke Deane-Grundman
• Randy Debber, PA-C
• John K F Debeixedon, M D
• Stephanie Debnath, NP

• Mental Health Counselor in Pasadena, CA
• Providers in Pasadena, 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 Dec 10, 2018; 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.