Jessie Muniz

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

3611 S Harbor Blvd
Suite100
Santa Ana, CA 92704-6928

Phone

(714) 966-8650

NPI assigned

Oct 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jessie Madrid Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• South Coast Children'S Society, Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Mission Viejo, CA
  • NPI 1215017603
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259712000000",
    "number": "1366530388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19858 DEEP HARBOR DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926483054",
            "telephone_number": "714-966-8675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 S HARBOR BLVD",
            "address_2": "SUITE100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927046928",
            "telephone_number": "714-966-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNIZ",
        "first_name": "JESSIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2009-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSIE",
            "last_name": "MADRID",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Munay Health Wellness Center LLC
• Patrice Munday
• Jhoel Ivann Muniz Diaz
• Cinthia Muniz
• Derek Ezra Muniz, AMFT
• Ysmael Muniz
• Jazmin Munos de la Cruz
• Jamie Munoz Cerda, LCSW
• Yessica Munoz-Cervantes, RN
• Bianca Munoz

• Counselor in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; 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.