Jill Schulstad Azuma, MA, APCC8807

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

8807 Issued in CA

Practice address

1225 W 6TH St
Santa Ana, CA 92703-2101

Phone

(714) 972-1402

NPI assigned

Nov 9, 2020

Last updated

Nov 23, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mindful Lemon Marriage and Family Therapy IncGroup PAC ID 8921499096, 38 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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

• Mindful Lemon Marriage and Family Therapy, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Santa Clarita, CA
  • NPI 1487324463

  Addiction (Substance Use Disorder)

  Medicare reassignment Care Compare group NPD
• Straight Talk Clinic, Inc.

  • Substance Abuse Rehabilitation Facility
  • Santa Ana, CA
  • NPI 1396804225
  NPD
• TML Behavioral Health Group LLC

  dba TML Villa Canyon

  • Psychiatric Residential Treatment Facility
  • Castaic, CA
  • NPI 1003661737
  NPD

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1295337848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22431 ANTONIO PKWY STE B160",
            "city": "RCHO STA MARG",
            "state": "CA",
            "postal_code": "926883932",
            "telephone_number": "214-766-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 W 6TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927032101",
            "telephone_number": "714-972-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZUMA",
        "first_name": "JILL",
        "middle_name": "SCHULSTAD",
        "credential": "MA, APCC8807",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "8807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.straighttalkcounseling.org/",
            "affiliation": "N",
            "address_1": "1225 W 6th St",
            "city": "Santa Ana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927032101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Usman Azeem
• Joanne Azer, D.O.
• Emad M Aziz, MD
• Amir Azizi, L.AC
• Lauren Yvonne Azuela, PMHNP-BC
• Amelia Alejandra Azzam
• B Ted Field MD Inc
• B&E Medical Supplies Inc
• Babak Etemad DMD Inc (casa dental of Santa Ana)
• Jooby Babu, MD

• Mental Health Counselor in Santa Ana, CA
• Providers in Santa Ana, 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 Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.