Active NPI
John Stephen Juniper, MS
- Professional Counselor
- Eastvale, CA
National Provider Identifier
1346524410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PCI 18
- Practice address
- 12908 Rimmon Rd
Eastvale, CA 92880-3439 - Phone
- (951) 205-9191
- NPI assigned
- Oct 6, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | PPS 120001848 | CA | |
| Professional Counselor | 101YP2500X | PCI 18 | CA | Primary |
Addresses
Primary practice location
12908 Rimmon Rd
Eastvale, CA 92880-3439
Mailing address
12908 Rimmon Rd
Eastvale, CA 92880-3439
Phone (951) 205-9191
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101YA0400X | Other | CA | MEDI-CAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCI 18 | CA | MD | Professional Counselor |
| PPS 120001848 | CA | MD | School Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Bernardino County Superintendent of Schools | Past | Accepting new patients | |
| San Bernardino County Superintendent of Schools | Past | Accepting new patients |
Organizations & group practices 2
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.
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- NPI 1033668066
-
dba Sbcss Stu SVS Coun CNTR
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- Redlands, CA
- NPI 1104183763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712707200000",
"number": "1346524410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12908 RIMMON RD",
"city": "EASTVALE",
"state": "CA",
"postal_code": "928803439",
"telephone_number": "951-205-9191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12908 RIMMON RD",
"city": "EASTVALE",
"state": "CA",
"postal_code": "928803439",
"telephone_number": "951-205-9191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUNIPER",
"first_name": "JOHN",
"middle_name": "STEPHEN",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-06",
"last_updated": "2024-04-10",
"certification_date": "2024-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "CA",
"license": "PPS 120001848",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "PCI 18",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "101YA0400X",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eastvale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.