Active NPI
Jawanna Peoples
- Counselor
- Davis, CA
National Provider Identifier
1417357724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1590 Drew Ave Ste 210
Davis, CA 95618-7848 - Phone
- (530) 285-3201
- NPI assigned
- Aug 25, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1590 Drew Ave Ste 210
Davis, CA 95618-7848
Mailing address
1590 Drew Ave Ste 210
Davis, CA 95618-7848
Phone (530) 285-3201
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665964800000",
"number": "1417357724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1590 DREW AVE STE 210",
"city": "DAVIS",
"state": "CA",
"postal_code": "956187848",
"telephone_number": "530-285-3201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1590 DREW AVE STE 210",
"city": "DAVIS",
"state": "CA",
"postal_code": "956187848",
"telephone_number": "530-285-3201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEOPLES",
"first_name": "JAWANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-25",
"last_updated": "2022-10-17",
"certification_date": "2022-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.