Individual provider Active NPI

Jasdeep Kaur Bains, APCC9566

  • Mental Health Counselor
  • Sacramento, CA
National Provider Identifier
1386219319
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
APCC9566 Issued in CA
Practice address
2335 American River Dr Ste 301
Sacramento, CA 95825-7088
Phone
(530) 648-0559
NPI assigned
May 21, 2021
Last updated
Nov 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Mental Health Counselor 101YM0800X APCC9566 CA Primary

Addresses

Primary practice location

2335 American River Dr Ste 301
Sacramento, CA 95825-7088

Mailing address

3860 Aetna Springs Way
Sacramento, CA 95834-1041

Other practice location 1

414 4th St Ste D
Woodland, CA 95695-4000
Phone (530) 406-7993

Other practice location 2

5416 Holdener Rd
Elmira, CA 95625
Phone (707) 453-6227

Other practice location 3

1745 Enterprise Dr
Fairfield, CA 94533-5801
Phone (707) 453-6227

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

State licenses

LicenseStateTypeSpecialty
APCC9566CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Specialized Education of California, Inc. CurrentSince May 1, 2022 Accepting new patients
Jennifer L Flood, LMFT, LPCC's Marriage and Family Counseling Group, I CurrentSince Nov 12, 2023 Accepting new patients
Keystone School Elmira PastSince May 1, 2022 Accepting new patients

Locations

1745 Enterprise Dr
Fairfield, CA 94533
Phone (707) 399-4900

2335 American River Dr
Ste 301
Sacramento, CA 95825
Phone (530) 648-0559

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1386219319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3860 AETNA SPRINGS WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 AMERICAN RIVER DR STE 301",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958257088",
            "telephone_number": "530-648-0559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "414 4th St Ste D",
            "address_purpose": "LOCATION",
            "city": "Woodland",
            "state": "CA",
            "postal_code": "956954000",
            "country_code": "US",
            "telephone_number": "530-406-7993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5416 Holdener Rd",
            "address_purpose": "LOCATION",
            "city": "Elmira",
            "state": "CA",
            "postal_code": "95625",
            "country_code": "US",
            "telephone_number": "707-453-6227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1745 Enterprise Dr",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CA",
            "postal_code": "945335801",
            "country_code": "US",
            "telephone_number": "707-453-6227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAINS",
        "first_name": "JASDEEP",
        "middle_name": "KAUR",
        "credential": "APCC9566",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-21",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "APCC9566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.