Jaqueline McWalter Mohan, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

1055 W Henderson Ave
Porterville, CA 93257-1490

Phone

(559) 788-1200

NPI assigned

Jan 16, 2008

Last updated

May 27, 2010By the provider in NPPES

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

• Jacqueline Day Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• County of Tulare

  • Community/Behavioral Health Agency
  • Visalia, CA
  • NPI 1407304678
  NPD
• County of Tulare

  • Community/Behavioral Health Agency
  • Porterville, CA
  • NPI 1518418581
  NPD
• County of Tulare

  dba Visalia Adult Integrated Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Visalia, CA
  • NPI 1770529752
  NPD

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274918400000",
    "number": "1376729749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5957 S MOONEY BLVD",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932779394",
            "telephone_number": "559-737-4669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 W HENDERSON AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932571490",
            "telephone_number": "559-788-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCWALTER MOHAN",
        "first_name": "JAQUELINE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-16",
        "last_updated": "2010-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "DAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mark Thomas Matthews, MD
• Evan Lyle Maw, L.C.S.W.
• Roman Esteban Mayek
• Nicole M McDonald, NP
• Cynthia McKenzie, PSY.D.
• Ria Mehta
• Vera A. Meier-Bennett, MD
• Marian Mekhaiel, RPH
• Gregory Wayne Mellor, M.D.
• Lynette Joy Menchaca, RN

• Marriage & Family Therapist in Porterville, CA
• Providers in Porterville, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.