Peter Jastermsky, LCSW

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

57556 29 Palms Hwy
68
Yucca Valley, CA 92284-2934

Phone

(760) 363-2199

NPI assigned

Apr 3, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1617408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1437738994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57556 29 PALMS HWY # 68",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922842934",
            "telephone_number": "760-363-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57556 29 PALMS HWY",
            "address_2": "68",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922842934",
            "telephone_number": "760-363-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASTERMSKY",
        "first_name": "PETER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-03",
        "last_updated": "2022-08-03",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Yucca Valley, CA
• Providers in Yucca Valley, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.

Verify at the official NPI Registry.