Jackie Giselle Villarreal

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

APCC161660 Issued in CA

Practice address

44199 Monroe St Ste a
Indio, CA 92201-3096

Phone

(760) 347-0754

NPI assigned

Mar 26, 2024

Last updated

Jan 27, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• County of Riverside

  dba Indio Substance Use Program

  • Community/Behavioral Health Agency
  • Indio, CA
  • NPI 1134295702
  NPD (past)

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1619727088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40825 AMADOR DR",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922033874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44199 MONROE ST STE A",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922013096",
            "telephone_number": "760-347-0754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "83912 Avenue 45",
            "address_purpose": "LOCATION",
            "city": "Indio",
            "state": "CA",
            "postal_code": "922017351",
            "country_code": "US",
            "telephone_number": "760-347-0754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLARREAL",
        "first_name": "JACKIE",
        "middle_name": "GISELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-26",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "APCC161660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vida Rama LLC (Unity Medical Transportation)
• Esther Villa
• Mariela Villada Lopez
• Mia Savana Villalobos
• Sid Villalobos, CMA
• Jessica Villarreal
• Lunadalay Villarreal
• Henry Jared Villeda
• Graciela Villegas Quintero
• Vip Hospice United

• Mental Health Counselor in Indio, CA
• Providers in Indio, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; 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.