Individual provider Active NPI

Jaclyn Jean Trost, M.A.,M.F.T.

  • Mental Health Counselor
  • Apple Valley, CA
National Provider Identifier
1659439669
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MFT35660 Issued in CA
Practice address
20236 Nowata Rd
Apple Valley, CA 92307-5634
Phone
(760) 240-0333
Fax
(760) 240-7588
NPI assigned
Dec 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MFT35660 CA Primary

Addresses

Primary practice location

20236 Nowata Rd
Apple Valley, CA 92307-5634

Mailing address

20236 Nowata Rd
Apple Valley, CA 92307-5634
Phone (760) 240-0333

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MFT35660CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659439669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20236 NOWATA RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923075634",
            "telephone_number": "760-240-0333",
            "fax_number": "760-240-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20236 NOWATA RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923075634",
            "telephone_number": "760-240-0333",
            "fax_number": "760-240-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROST",
        "first_name": "JACLYN",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "M.A.,M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFT35660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.