J.E.M. Clinical Counseling, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

J.E.M. CLINICAL COUNSELING, LLC

Practice address

815 Mission Ave Ste 208
Oceanside, CA 92054-2841

Phone

(760) 496-9600

Fax

(858) 408-6504

NPI assigned

Aug 18, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Mathis, PH.D., LPCC

Title

Ceo

Phone

(760) 496-9600

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587340800000",
    "number": "1346766581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 664",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920490664",
            "telephone_number": "760-496-9600",
            "fax_number": "858-408-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 MISSION AVE STE 208",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920542841",
            "telephone_number": "760-496-9600",
            "fax_number": "858-408-6504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7301 N 16th St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850205266",
            "country_code": "US",
            "telephone_number": "602-432-3200",
            "fax_number": "602-535-3381",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3210 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850174504",
            "country_code": "US",
            "telephone_number": "602-432-3200",
            "fax_number": "602-535-3381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "J.E.M. CLINICAL COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-18",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A",
        "authorized_official_last_name": "MATHIS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-496-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "284999",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.