Active NPI
Jesse D Poe
- Mental Health Counselor
- Sacramento, CA
National Provider Identifier
1669624136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 2230 9TH St
Sacramento, CA 95818-1310 - Phone
- (916) 448-7391
- Fax
- (916) 441-1600
- NPI assigned
- Oct 16, 2008
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
2230 9TH St
Sacramento, CA 95818-1310
Mailing address
1507 21St St Ste 205
Sacramento, CA 95811-5297
Phone (916) 441-0123
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224115200000",
"number": "1669624136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1507 21ST ST STE 205",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958115297",
"telephone_number": "916-441-0123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2230 9TH ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958181310",
"telephone_number": "916-448-7391",
"fax_number": "916-441-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POE",
"first_name": "JESSE",
"middle_name": "D",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-16",
"last_updated": "2008-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.