Individual provider Active NPI

Jordan-Lee Joan Clay

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1669295911
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
150102 Issued in CA
Practice address
7676 Hazard Center Dr Ste 340
San Diego, CA 92108-4543
Phone
(858) 750-7379
NPI assigned
Nov 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 150102 CA Primary

Addresses

Primary practice location

7676 Hazard Center Dr Ste 340
San Diego, CA 92108-4543

Mailing address

2851 Grandview St
San Diego, CA 92110-1036
Phone (760) 450-4245

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
150102CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Mind Counseling San Diego Marriage & Family Therapist CurrentSince Nov 10, 2024 Accepting new patients
Clear Mind Marriage and Family Counseling, Inc. PastSince Nov 10, 2024 Accepting new patients

Locations

7676 Hazard Center Dr
Ste 340
San Diego, CA 92108
Phone (858) 750-7379

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": "1730764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1669295911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 GRANDVIEW ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921101036",
            "telephone_number": "760-450-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7676 HAZARD CENTER DR STE 340",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084543",
            "telephone_number": "858-750-7379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAY",
        "first_name": "JORDAN-LEE",
        "middle_name": "JOAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "150102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.