Candyce Jillson, AMDT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

AMFT110083 Issued in CA

Practice address

2641 Hamner Ave Ste 201
Norco, CA 92860-3637

Phone

(951) 203-8737

NPI assigned

Feb 7, 2024

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 and National Provider Directory roles.

• Citrus City Family Counseling

  • Counseling Psychologist
  • Riverside, CA
  • NPI 1003577453
  NPD

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1649034901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1793 WREN AVE",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928792939",
            "telephone_number": "951-203-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2641 HAMNER AVE STE 201",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928603637",
            "telephone_number": "951-203-8737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JILLSON",
        "first_name": "CANDYCE",
        "credential": "AMDT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "AMFT110083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Jauregui, PTA
• Amery Estebat Javier, OTR
• Jennifer M Wells Chiropractic Corporation
• Vanessa Jensen
• Stephanie Huey-Yang Ji, M.S. CCC-SLP
• Sehee Joe, L.AC.
• William James Johnson, DDS
• Victor Ricardo Joseph, D.D.S.
• Joanne Julien, MSW
• Hyangsook Jung, PH.D.

• Mental Health Counselor in Norco, CA
• Providers in Norco, 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 Feb 7, 2024; 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.