Active NPI
Jessica Marie Dawson, LMFT
- Mental Health Counselor
- Atascadero, CA
National Provider Identifier
1689809071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 102383
- Practice address
- 9700 El Camino Real # 301
Atascadero, CA 93422 - Phone
- (805) 952-3236
- Fax
- (805) 460-6795
- NPI assigned
- May 28, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 102383 | CA | Primary |
Addresses
Primary practice location
9700 El Camino Real # 301
Atascadero, CA 93422
Mailing address
9700 El Camino Real # 301
Atascadero, CA 93422
Phone (805) 952-3236
Other names 1
- Jessica Marie Gilbert
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
| License | State | Type | Specialty |
|---|---|---|---|
| 102383 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dawson Individual and Family Counseling Inc. | Current | Accepting new patients |
Locations
9700 El Camino Real
Ste 301
Atascadero, CA 93422
Phone (805) 265-0880
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Atascadero, CA
- NPI 1578298428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600300800000",
"number": "1689809071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9700 EL CAMINO REAL # 301",
"city": "ATASCADERO",
"state": "CA",
"postal_code": "93422",
"telephone_number": "805-952-3236",
"fax_number": "805-460-6795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9700 EL CAMINO REAL # 301",
"city": "ATASCADERO",
"state": "CA",
"postal_code": "93422",
"telephone_number": "805-952-3236",
"fax_number": "805-460-6795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAWSON",
"first_name": "JESSICA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-28",
"last_updated": "2020-09-17",
"certification_date": "2020-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "102383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "GILBERT",
"middle_name": "MARIE",
"credential": "LMFT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Atascadero, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.