Jessica Marie Samora

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

147177 Issued in CA

Practice address

8900 Topanga Canyon Blvd
Canoga Park, CA 91304-1449

Phone

(818) 389-2990

NPI assigned

Jun 20, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1720822331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 TOPANGA CANYON BLVD APT 226",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913041433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 TOPANGA CANYON BLVD",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913041449",
            "telephone_number": "818-389-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMORA",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "147177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Salmo
• Jasmine Salvador
• Salvador Salvatierra
• Sophanara Sam
• Jacquelin Samayoa
• Lorissa Samora
• Gina Samouel
• Mahsa Samouhi, DMD
• Payam Samouhi, DDS, MD
• Daniel San

• Mental Health Counselor in Canoga Park, CA
• Providers in Canoga Park, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.