Individual provider Active NPI

Jillian Ashley Pingel

  • Mental Health Counselor
  • Carson, CA
National Provider Identifier
1639726946
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
500 E Carson Plaza Dr Ste 224
Carson, CA 90746-7337
Phone
(213) 793-4059
NPI assigned
Aug 21, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 106S00000X RBT-18-63187 CA
Mental Health Counselor 101YM0800X CA Primary

Addresses

Primary practice location

500 E Carson Plaza Dr Ste 224
Carson, CA 90746-7337

Mailing address

500 E Carson Plaza Dr Ste 224
Carson, CA 90746-7337

Other practice location 1

877 Ygnacio Valley Rd Ste 100
Walnut Creek, CA 94596-3897
Phone (925) 482-3330

Other practice location 2

877 Ygnacio Valley Rd Ste 100
Walnut Creek, CA 94596-3897
Phone (925) 482-3330

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
RBT-18-63187CAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Firststeps for Kids PastSince Aug 1, 2019 Accepting new patients
First Steps for Kids, Inc. PastSince Aug 1, 2019 Accepting new patients

Organizations & group practices 2

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": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1639726946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E CARSON PLAZA DR STE 224",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907467337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E CARSON PLAZA DR STE 224",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907467337",
            "telephone_number": "213-793-4059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "877 Ygnacio Valley Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945963897",
            "country_code": "US",
            "telephone_number": "925-482-3330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "877 Ygnacio Valley Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945963897",
            "country_code": "US",
            "telephone_number": "925-482-3330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINGEL",
        "first_name": "JILLIAN",
        "middle_name": "ASHLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-21",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT-18-63187",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.