Individual provider Active NPI

Jillian Hynynen, LCSW

  • Clinical Social Worker
  • Tustin, CA
National Provider Identifier
1558196428
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
117609 Issued in CA
Practice address
17541 Irvine Blvd Ste E
Tustin, CA 92780-3158
Phone
(949) 237-2925
NPI assigned
Sep 3, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 117609 CA Primary

Addresses

Primary practice location

17541 Irvine Blvd Ste E
Tustin, CA 92780-3158

Mailing address

25 Tiara
Irvine, CA 92614-5383
Phone (703) 598-8036

Other names 1

  • Jillian Bryant Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://hushforms.com/nourish-secure-file-transfer Other

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
117609CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jillian Hynynen, Licensed Clinical Social Worker, Inc. Clinical CurrentSince Sep 8, 2024 Accepting new patients

Locations

26431 Crown Valley Pkwy
Ste 260
Mission Viejo, CA 92691
Phone (949) 237-2925

17541 Irvine Blvd
Ste E
Tustin, CA 92780
Phone (949) 229-5964

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": "1725321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1558196428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 TIARA",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145383",
            "telephone_number": "703-598-8036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17541 IRVINE BLVD STE E",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803158",
            "telephone_number": "949-237-2925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYNYNEN",
        "first_name": "JILLIAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-03",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "117609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://hushforms.com/nourish-secure-file-transfer",
            "affiliation": "N",
            "endpointDescription": "Secure web form for receiving confidential client information",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Protected health information",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Protected health information",
            "address_1": "26431 Crown Valley Pkwy Ste 260",
            "city": "Mission Viejo",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926917201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JILLIAN",
            "last_name": "BRYANT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; 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.