NPIMap

Organization Active NPI

Jjireh Licensed Clinical Social Worker, Inc.

Doing business as Counseling and More

  • Community/Behavioral Health Agency
  • Tracy, CA
National Provider Identifier
1639546120
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
24606 Issued in CA
Legal business name
JJIREH LICENSED CLINICAL SOCIAL WORKER, INC.
Doing business as
Counseling and More
Practice address
4600 S Tracy Blvd
Suite 106
Tracy, CA 95377-8105
Phone
(209) 640-4179
Fax
(209) 207-9225
NPI assigned
Aug 31, 2015
Last updated
Aug 31, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2015

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

Authorized official

Name
Lettie Ordone, LCSWNPI 1932433778
Title
Executive Director
Phone
(209) 640-4179

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 24606 CA Primary

Addresses

Primary practice location

4600 S Tracy Blvd
Suite 106
Tracy, CA 95377-8105

Mailing address

4600 S Tracy Blvd
Suite 106
Tracy, CA 95377-8105
Phone (209) 640-4179

Other names 1

  • Counseling and More Doing business as

National Provider Directory

National Provider Directory

Locations

2160 W Grant Line Rd
Ste 215
Tracy, CA 95377
Phone (209) 222-8802

4600 S Tracy Blvd
Ste 106
Tracy, CA 95377
Phone (209) 640-4179

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440979200000",
    "number": "1639546120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 S TRACY BLVD",
            "address_2": "SUITE 106",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953778105",
            "telephone_number": "209-640-4179",
            "fax_number": "209-207-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 S TRACY BLVD",
            "address_2": "SUITE 106",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953778105",
            "telephone_number": "209-640-4179",
            "fax_number": "209-207-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JJIREH LICENSED CLINICAL SOCIAL WORKER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-31",
        "last_updated": "2015-08-31",
        "status": "A",
        "authorized_official_last_name": "ORDONE",
        "authorized_official_first_name": "LETTIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "209-640-4179",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "24606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Counseling and More",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; 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.