Jennifer June Jones, NA

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

VYTNMPZHDLJWUKQC Issued in CA

Practice address

31760 Casino Dr Ste 100
Lake Elsinore, CA 92530-4561

Phone

(951) 471-4600

NPI assigned

Sep 23, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• County of Riverside

  • Community/Behavioral Health Agency
  • Lake Elsinore, CA
  • NPI 1982094629
  NPD (past)

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1356591697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31760 CASINO DR STE 100",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925304561",
            "telephone_number": "951-471-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31760 CASINO DR STE 100",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925304561",
            "telephone_number": "951-471-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "JENNIFER",
        "middle_name": "JUNE",
        "credential": "NA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-23",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "VYTNMPZHDLJWUKQC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYEE NUMBER",
            "identifier": "223581",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356591697",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mery Joharzadeh
• Jasmine J Johnson
• Kelly Johnson, PT, DPT
• Ottis Johnson, C.A.S.
• Hannah Jean Jones, PMHNP-BC
• Judith A Jones, MFTI
• Caitlin Jordan, BIRTH DOULA
• Cynthia Belinda Jordan, REGISTERED NURSE
• Karen Joya
• Michelle Juanengo

• Peer Specialist in Lake Elsinore, CA
• Providers in Lake Elsinore, CA by specialty
• Peer Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.