Jessica June Keys

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

320 Pine Ave Ste 609
Long Beach, CA 90802-2310

Phone

(562) 279-0180

Fax

(562) 661-9672

NPI assigned

Nov 4, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Flatow Medical Corporation Apc

  • Psychiatry Physician
  • Torrance, CA
  • NPI 1659970333
  NPD
• Thomas and Flatow Medical Corporation

  • Psychiatry Physician
  • Long Beach, CA
  • NPI 1609377902
  NPD

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1710694021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 PINE AVE STE 609",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908022310",
            "telephone_number": "562-279-0180",
            "fax_number": "562-661-9672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 PINE AVE STE 609",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908022310",
            "telephone_number": "562-279-0180",
            "fax_number": "562-661-9672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "835 Locust Ave Unit 419",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908135857",
            "country_code": "US",
            "telephone_number": "562-326-6997",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 Pine Ave Ste 609",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908022310",
            "country_code": "US",
            "telephone_number": "562-279-0180",
            "fax_number": "562-661-9672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEYS",
        "first_name": "JESSICA",
        "middle_name": "JUNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-04",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "0000",
            "identifier": "0000000000",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "nella.zegarra@pacificmindspa.com",
            "affiliation": "N",
            "address_1": "320 Pine Ave Ste 609",
            "city": "Long Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "908022310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maria Kesler, ASW, CADC II
• Paula Kespradit
• Kevin M. Kilbane, L.M.F.T., Inc.
• Kevin Tran & Associates Optometric Corp.
• Reya Keyaerts
• Latonya Keys
• Ton Kha
• Wisam Khader, D.O.
• Ahmad Sadoon Khalifa, M.D.
• Kholoud Khalil

• Counselor in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.

Verify at the official NPI Registry.