Active NPI
Nicholas Todd Jewell, M.A.
- Professional Counselor
- Van Nuys, CA
National Provider Identifier
1336371764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 6842 Van Nuys Blvd
5TH Floor
Van Nuys, CA 91405-4625 - Phone
- (818) 374-6901
- NPI assigned
- Aug 18, 2009
- Last updated
- Feb 22, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | NU | Primary |
Addresses
Primary practice location
6842 Van Nuys Blvd
5TH Floor
Van Nuys, CA 91405-4625
Mailing address
6842 Van Nuys Blvd
5TH Floor
Van Nuys, CA 91405-4625
Phone (818) 374-6901
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 27, 2024 through Jan 27, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298332800000",
"number": "1336371764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6842 VAN NUYS BLVD",
"address_2": "5TH FLOOR",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914054625",
"telephone_number": "818-374-6901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6842 VAN NUYS BLVD",
"address_2": "5TH FLOOR",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914054625",
"telephone_number": "818-374-6901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEWELL",
"first_name": "NICHOLAS",
"middle_name": "TODD",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-18",
"last_updated": "2011-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.