Janella Rae Palao Bautista

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

Sierra School at Livermore (Lawerence Elementary)
2451 Portola Ave
Livermore, CA 94551

Phone

(925) 775-5785

NPI assigned

Oct 28, 2016

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

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

{
    "created_epoch": "1477612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1306398987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SIERRA SCHOOL AT LIVERMORE",
            "address_2": "2451 PORTOLA AVE",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "94551",
            "telephone_number": "925-775-5785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SIERRA SCHOOL AT LIVERMORE (LAWERENCE ELEMENTARY)",
            "address_2": "2451 PORTOLA AVE",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "94551",
            "telephone_number": "925-775-5785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24077 State Highway 49",
            "address_purpose": "LOCATION",
            "city": "Nevada City",
            "state": "CA",
            "postal_code": "959598519",
            "country_code": "US",
            "telephone_number": "530-265-9057",
            "fax_number": "530-292-3803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3480 Buskirk Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Pleasant Hill",
            "state": "CA",
            "postal_code": "945234304",
            "country_code": "US",
            "telephone_number": "925-933-2627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "JANELLA RAE",
        "middle_name": "PALAO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-28",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Livermore, CA
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.