Active NPI
Michele Dianne-Shaunte Jones
- Mental Health Counselor
- Whittier, CA
National Provider Identifier
1497260582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 90894
- Practice address
- 9829 Carmenita Rd Ste H
Whittier, CA 90605-3262 - Phone
- (562) 907-7429
- NPI assigned
- Dec 11, 2017
- 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 | 90894 | CA | Primary |
Addresses
Primary practice location
9829 Carmenita Rd Ste H
Whittier, CA 90605-3262
Mailing address
1110 Tripoli St Apt 1
Riverside, CA 92507-3903
Other practice location 1
845 E Arrow Hwy
Pomona, CA 91767-2535
Phone (909) 624-1233
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
| License | State | Type | Specialty |
|---|---|---|---|
| 90894 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566000000000",
"number": "1497260582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 TRIPOLI ST APT 1",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925073903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9829 CARMENITA RD STE H",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906053262",
"telephone_number": "562-907-7429"
}
],
"practiceLocations": [
{
"address_1": "845 E Arrow Hwy",
"address_purpose": "LOCATION",
"city": "Pomona",
"state": "CA",
"postal_code": "917672535",
"country_code": "US",
"telephone_number": "909-624-1233",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "MICHELE",
"middle_name": "DIANNE-SHAUNTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-11",
"last_updated": "2019-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "90894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Whittier, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.