Active NPI
Paula Jean Ortiz, L.C.S.W.
- Mental Health Counselor
- Folsom, CA
National Provider Identifier
1669518064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LCS18910
- Practice address
- 2155 Iron Point Rd
Folsom, CA 95630-8707 - Phone
- (916) 817-5633
- Fax
- (916) 817-5603
- NPI assigned
- Jan 30, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LCS18910 | CA | Primary |
Addresses
Primary practice location
2155 Iron Point Rd
Folsom, CA 95630-8707
Mailing address
2155 Iron Point Rd
Folsom, CA 95630-8707
Phone (916) 817-5633
Other names 1
- Ms. Paula Jean Adams
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) | The Permanente Medical Group |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS18910 | CA | MD | Mental Health Counselor |
| 18910 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641859200000",
"number": "1669518064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2155 IRON POINT RD",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956308707",
"telephone_number": "916-817-5633",
"fax_number": "916-817-5603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2155 IRON POINT RD",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956308707",
"telephone_number": "916-817-5633",
"fax_number": "916-817-5603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "PAULA",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "L.C.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2022-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "LCS18910",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "The Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "2155 Iron Point Rd",
"city": "Folsom",
"state": "CA",
"country_code": "US",
"postal_code": "956308707",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "PAULA",
"last_name": "ADAMS",
"middle_name": "JEAN",
"prefix": "MS.",
"credential": "L.C.S.W.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.