Individual provider Active NPI

Jennifer Indula - Allen, LCSW118923

  • Mental Health Counselor
  • Monterey, CA
National Provider Identifier
1336565860
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
31382 Issued in CA
Practice address
PO Box HH
Monterey, CA 93942-6032
Phone
(831) 625-4697
Fax
(831) 625-4524
NPI assigned
Mar 7, 2014
Last updated
Jun 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 31382 CA Primary

Addresses

Primary practice location

PO Box HH
Monterey, CA 93942-6032

Mailing address

PO Box 3204
Salinas, CA 93912-3204
Phone (209) 839-7583

Other practice location 1

1011 Post Dr Unit 3204
Salinas, CA 93912-2009
Phone (209) 839-7583

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240708001441 CA Practitioner - Clinical Social Worker 9537603113 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31382CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital of the Monterey Peninsula CurrentSince Apr 25, 2024 Accepting new patients
Community Hospital of the Monterey Peninsula CurrentSince Apr 25, 2024 Accepting new patients
Sud Specialty Group - Ca CurrentSince Jun 1, 2025 Accepting new patients

Locations

23625 Wr Holman Hwy
Monterey, CA 93940
Phone (831) 622-2708

4633 Old Ironsides Dr
Ste 304
Santa Clara, CA 95054
Phone (323) 745-8323

5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182

520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1394150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1336565860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3204",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939123204",
            "telephone_number": "209-839-7583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX HH",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939426032",
            "telephone_number": "831-625-4697",
            "fax_number": "831-625-4524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 Post Dr Unit 3204",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "939122009",
            "country_code": "US",
            "telephone_number": "209-839-7583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INDULA - ALLEN",
        "first_name": "JENNIFER",
        "credential": "LCSW118923",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-07",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "31382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.