Active NPI
Jessica Nataly Barahona
- Mental Health Counselor
- Los Angeles, CA
National Provider Identifier
1740950807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- ASW97808
- Practice address
- 470 E 3Rd St Ste C
Los Angeles, CA 90013-1630 - Phone
- (213) 620-5712
- NPI assigned
- Sep 20, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | ASW97808 | CA | Primary |
| Clinical Social Worker | 1041C0700X | ASW97808 | CA |
Addresses
Primary practice location
470 E 3Rd St Ste C
Los Angeles, CA 90013-1630
Mailing address
470 E 3Rd St Ste C
Los Angeles, CA 90013-1630
Phone (213) 620-5712
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
| License | State | Type | Specialty |
|---|---|---|---|
| ASW97808 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632268800000",
"number": "1740950807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "470 E 3RD ST STE C",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900131630",
"telephone_number": "213-620-5712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "470 E 3RD ST STE C",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900131630",
"telephone_number": "213-620-5712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARAHONA",
"first_name": "JESSICA",
"middle_name": "NATALY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-20",
"last_updated": "2021-09-22",
"certification_date": "2021-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ASW97808",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW97808",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.