Individual provider Active NPI

Jonel Mizerak, LMFT

  • Marriage & Family Therapist
  • Pleasant Hill, CA
National Provider Identifier
1598856015
Registry record updated Jul 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC48118 Issued in CA
Practice address
101 Gregory LN
Suite 46
Pleasant Hill, CA 94523-4982
Phone
(925) 548-8841
Fax
(925) 548-8841
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X AT259 CA
Marriage & Family Therapist 106H00000X MFC48118 CA Primary

Addresses

Primary practice location

101 Gregory LN
Suite 46
Pleasant Hill, CA 94523-4982

Mailing address

101 Gregory LN
Suite 46
Pleasant Hill, CA 94523-4982
Phone (925) 548-8841

Other names 1

  • Ms. Jonel Mizerak Other name

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
MFC48118CAMDMarriage & Family Therapist
AT259CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jonel Mizerak Marriage and Family Therapist Professional Org Marriage & Family Therapist Current 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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311120000000",
    "number": "1598856015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 GREGORY LN",
            "address_2": "SUITE 46",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945234982",
            "telephone_number": "925-548-8841",
            "fax_number": "925-548-8841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 GREGORY LN",
            "address_2": "SUITE 46",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945234982",
            "telephone_number": "925-548-8841",
            "fax_number": "925-548-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZERAK",
        "first_name": "JONEL",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2011-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "AT259",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC48118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JONEL",
            "last_name": "MIZERAK",
            "prefix": "MS.",
            "credential": "PHYSICAL THERAPIST A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pleasant Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; 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.