Jonathan Jaesung Oh

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

123202 Issued in CA

Practice address

1370 Brea Blvd Ste 234
Fullerton, CA 92835-4148

Phone

(714) 202-6499

NPI assigned

Dec 20, 2023

Sex

Male

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

Locations

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.

• Jonathan Oh Marriage and Family Therapy Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fullerton, CA
  • NPI 1871241265
  NPD Authorized official

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

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1669241550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 BREA BLVD STE 234",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 BREA BLVD STE 234",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354148",
            "telephone_number": "714-202-6499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OH",
        "first_name": "JONATHAN",
        "middle_name": "JAESUNG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-20",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "123202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Pearl Odette Cana
• Nwamaka Gloria Offor
• Lauren R Ogle
• Christine Oh
• Jeeeun Jennifer Oh, DNP-PMHNP
• Zachary Geeseok Oh
• Miras Okawa
• Ariel Natalie Okhovat
• Kaori Karen Oki Lai
• Ronald Okio Okubo, OT

• Mental Health Counselor in Fullerton, CA
• Providers in Fullerton, 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 Dec 20, 2023; 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.