Individual provider Active NPI

Joanne Nelson, MA

  • Counselor
  • Solvang, CA
National Provider Identifier
1497182810
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
1687 Kronen Way
Solvang, CA 93463-2155
Phone
(805) 598-2028
NPI assigned
Sep 30, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X CA Primary

Addresses

Primary practice location

1687 Kronen Way
Solvang, CA 93463-2155

Mailing address

1687 Kronen Way
Solvang, CA 93463
Phone (805) 598-2028

Other identifiers 1

IdentifierTypeStateIssuer
101YOOOOOX-COUNSELORMedicaidCA

Other names 1

  • Joanie Nelson Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240109004071 CA Practitioner - Marriage and Family Therapist 5193176600 Practice locations: Solvang, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

650 Alamo Pintado Rd
Suite 103
Solvang, CA 93463-2266
Phone (805) 598-2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
87974CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1497182810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1687 KRONEN WAY",
            "city": "SOLVANG",
            "state": "CA",
            "postal_code": "93463",
            "telephone_number": "805-598-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1687 KRONEN WAY",
            "city": "SOLVANG",
            "state": "CA",
            "postal_code": "934632155",
            "telephone_number": "805-598-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JOANNE",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-30",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101YOOOOOX-COUNSELOR",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANIE",
            "last_name": "NELSON",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Solvang, CA

Sources for this page

Verify at the official NPI Registry.