Individual provider Active NPI

Josephine George

  • Mental Health Counselor
  • San Diego, CA
National Provider Identifier
1508254285
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
8775 Aero Dr. Suite 132
San Diego, CA 92123
Phone
(858) 609-8742
NPI assigned
Jan 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ASW89623 CA
Student in an Organized Health Care Education/Training Program 390200000X
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

8775 Aero Dr. Suite 132
San Diego, CA 92123

Mailing address

8775 Aero Dr. Suite 132
San Diego, CA 92123
Phone (858) 609-8742

Other practice location 1

1260 Morena Blvd
Suite 100
San Diego, CA 92110-3889
Phone (619) 398-0355

Other practice location 2

2865 Logan Ave
San Diego, CA 92113-2411
Phone (619) 232-4357

Other practice location 3

8775 Aero Dr. Suite 132
San Diego, CA 92123
Phone (858) 609-8742

Other practice location 4

8775 Aero Dr. Suite 132
San Diego, CA 92123
Phone (858) 609-8742

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
ASW89623CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Episcopal Community Services PastSince Jul 28, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1420156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1508254285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8775 AERO DR. SUITE 132",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92123",
            "telephone_number": "858-609-8742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8775 AERO DR. SUITE 132",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92123",
            "telephone_number": "858-609-8742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1260 Morena Blvd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921103889",
            "country_code": "US",
            "telephone_number": "619-398-0355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2865 Logan Ave",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921132411",
            "country_code": "US",
            "telephone_number": "619-232-4357",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8775 Aero Dr. Suite 132",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "92123",
            "country_code": "US",
            "telephone_number": "858-609-8742",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8775 Aero Dr. Suite 132",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "92123",
            "country_code": "US",
            "telephone_number": "858-609-8742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "JOSEPHINE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-02",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW89623",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.