Active NPI
Jayme Mora
- Mental Health Counselor
- Marina, CA
National Provider Identifier
1497182703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 613 Bayonet Cir
Marina, CA 93933-4600 - Phone
- (831) 384-6741
- Fax
- (831) 384-6748
- NPI assigned
- Oct 1, 2013
- Last updated
- Oct 1, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
613 Bayonet Cir
Marina, CA 93933-4600
Mailing address
613 Bayonet Cir
Marina, CA 93933-4600
Phone (831) 384-6741
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 510159122 | Other | CA | MEDI-CAL |
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": "1380585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380585600000",
"number": "1497182703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "613 BAYONET CIR",
"city": "MARINA",
"state": "CA",
"postal_code": "939334600",
"telephone_number": "831-384-6741",
"fax_number": "831-384-6748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "613 BAYONET CIR",
"city": "MARINA",
"state": "CA",
"postal_code": "939334600",
"telephone_number": "831-384-6741",
"fax_number": "831-384-6748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORA",
"first_name": "JAYME",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-01",
"last_updated": "2013-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "510159122",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marina, CA
- Monterey Behavior Solutions LLC
- Monterey County Behavioral Health (Gap Coastal)
- Monterey County Behavioral Health (Marina TelePsychiatry)
- Monterey County Behavioral Health Division Dba Central Coast DTX
- Amalia Montes
- Jennifer Morales
- Linda Morales, LVN
- Michael James Morales, MSW
- Monica Morales
- Cesar Munoz
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.