Individual provider Active NPI

Michele Dianne-Shaunte Jones

  • Mental Health Counselor
  • Whittier, CA
National Provider Identifier
1497260582
Registry record updated Aug 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
90894 Issued in CA
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

Updated by the provider on Aug 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
90894CAMDMarriage & 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.

Verify at the official NPI Registry.