Mary Nirmala Jerome

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPCC11338 Issued in CA

Practice address

4700 Spring St Ste No301
La Mesa, CA 91942-0263

Phone

(619) 800-5516

NPI assigned

Feb 4, 2019

Last updated

Apr 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846
  Medicare reassignment NPD
• Achieve Your True Potential

  • Marriage & Family Therapist
  • San Diego, CA
  • NPI 1356792626

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1730644709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10626 LOUISA DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919417059",
            "telephone_number": "619-800-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 SPRING ST STE NO301",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919420263",
            "telephone_number": "619-800-5516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEROME",
        "first_name": "MARY",
        "middle_name": "NIRMALA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-04",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LPCC11338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lentenbrink Psychological Services
• Jennifer Lundy Family Therapy, Inc. (Positive Change Counseling Center)
• Gayle Lynnette Jensen, PSY.D.
• Sara Jensen, RN, MA, CCM, LNCC
• Trina Rose Jensen
• Jerry M Fabrikant DPM, Inc
• Jessamine T. Sunglao DDS Inc
• Jewel Physical Therapy and Wellness, Inc (Jewel Physical Therapy and Wellness)
• Zhao Jia
• Ying Jiang, L.AC.

• Mental Health Counselor in La Mesa, CA
• Providers in La Mesa, 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 Apr 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.