Individual provider Active NPI

Jaclyn Marie Cairns

  • Mental Health Counselor
  • Palm Springs, CA
National Provider Identifier
1710541644
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13914 Issued in CA
Practice address
19-531 McLane Street
Suite B
Palm Springs, CA 92263-3459
Phone
(760) 288-4579
Fax
(760) 288-3752
NPI assigned
Apr 25, 2019
Last updated
Aug 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 13914 CA Primary

Addresses

Primary practice location

19-531 McLane Street
Suite B
Palm Springs, CA 92263-3459

Mailing address

PO Box 2651
Palm Springs, CA 92263-2651
Phone (760) 288-4579

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
13914CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
County of Riverside CurrentSince Sep 1, 2019 Accepting new patients

Locations

74923 Hovley Lane East
Palm Desert, CA 92260
Phone (760) 347-0754

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1710541644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2651",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922632651",
            "telephone_number": "760-288-4579",
            "fax_number": "760-288-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19-531 MCLANE STREET",
            "address_2": "SUITE B",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922633459",
            "telephone_number": "760-288-4579",
            "fax_number": "760-288-3752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAIRNS",
        "first_name": "JACLYN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-25",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "13914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.