Jacklyn Nicole McKee, CATC-1

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

2313178 Issued in CA

Practice address

8086 Orange Ave
Fair Oaks, CA 95628-5941

Phone

(949) 337-1439

NPI assigned

Jun 29, 2021

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)

Not enrolled

State licenses

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.

• Alpha Project for the Homeless

  • Substance Abuse Rehabilitation Facility
  • Vista, CA
  • NPI 1295947364
  NPD (past)
• Alpha Project for the Homeless

  • Substance Abuse Rehabilitation Facility
  • Vista, CA
  • NPI 1932612264
  NPD (past)
• Western Pacific Med-Corp

  • Methadone Clinic
  • Mission Viejo, CA
  • NPI 1386280899
  NPD (past)

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1295305548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10751 DALE AVE",
            "city": "STANTON",
            "state": "CA",
            "postal_code": "906802604",
            "telephone_number": "714-821-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8086 ORANGE AVE",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956285941",
            "telephone_number": "949-337-1439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEE",
        "first_name": "JACKLYN",
        "middle_name": "NICOLE",
        "credential": "CATC-1",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "213178",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "2313178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seth Rocker Mays, PA
• Melissa McBride
• Kindra Laurel McCall, LMFT
• McIlwain Services (McIlwain Mobility Service)
• Alisha Lynn McIntyre, MS SLP
• Amanda Louise McNutt, SP
• Leroy W. 'Mic' McPherson, M.F.T.
• Med Center Medical Clinic, Inc (Dr Champlin's Annex)
• Madison Maria Mellow
• Mark Melten

• Addiction (Substance Use Disorder) Counselor in Fair Oaks, CA
• Providers in Fair Oaks, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.