Jerry Pine, M.DIV., ED.S.

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

Practice address

28545 Felix Valdez Ave
Suite B-1
Temecula, CA 92590-1859

Phone

(951) 240-5250

NPI assigned

Feb 10, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• The Temecula Center of Pastoral Counseling

  • Professional Counselor
  • Temecula, CA
  • NPI 1962638890

  Pastoral

  NPD (past) Authorized official

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

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244073600000",
    "number": "1609015940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28545 FELIX VALDEZ AVE",
            "address_2": "SUITE B-1",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925901859",
            "telephone_number": "951-240-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28545 FELIX VALDEZ AVE",
            "address_2": "SUITE B-1",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925901859",
            "telephone_number": "951-240-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINE",
        "first_name": "JERRY",
        "credential": "M.DIV., ED.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-10",
        "last_updated": "2009-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Piernas Marriage & Family Therapy Inc.
• Kimberly D Pierson, PA-C
• Leslie Pimentel
• Jennifer Pinal
• Taylor Caitlin Pinch
• Sarahi Pinon
• Scott Michael Piper
• Alexandra Pires-Menard, MD
• Cheryl Pitt, PHARM D
• Johana Pizzano

• Pastoral Counselor in Temecula, CA
• Providers in Temecula, CA by specialty
• Pastoral Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; 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.