Active NPI
Jennifer Nyhan
- Mental Health Counselor
- Pasadena, CA
National Provider Identifier
1710696018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 132408
- Practice address
- 960 E Green St Ste 280
Pasadena, CA 91106-2419 - Phone
- (626) 895-4211
- NPI assigned
- Nov 16, 2022
- Last updated
- Nov 16, 2022
- 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 | 132408 | CA | Primary |
Addresses
Primary practice location
960 E Green St Ste 280
Pasadena, CA 91106-2419
Mailing address
2354 Mountain Ave
La Crescenta, CA 91214-3134
Phone (818) 858-4291
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 24, 2026 through Mar 24, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 132408 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668556800000",
"number": "1710696018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2354 MOUNTAIN AVE",
"city": "LA CRESCENTA",
"state": "CA",
"postal_code": "912143134",
"telephone_number": "818-858-4291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 E GREEN ST STE 280",
"city": "PASADENA",
"state": "CA",
"postal_code": "911062419",
"telephone_number": "626-895-4211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NYHAN",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-16",
"last_updated": "2022-11-16",
"certification_date": "2022-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "132408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.