NPIMap

Organization Active NPI

Jeannette Gilmore Integrative Therapies

  • Mental Health Counselor
  • San Diego, CA
National Provider Identifier
1760070171
Registry record updated Jan 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
JEANNETTE GILMORE INTEGRATIVE THERAPIES
Practice address
5252 Balboa Ave Ste 800
San Diego, CA 92117-6970
Phone
(858) 882-7872
NPI assigned
Jan 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2021

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

Authorized official

Name
Jeannette Marie Gilmore, LMFTNPI 1528402732
Title
Owner
Phone
(858) 882-7872

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

5252 Balboa Ave Ste 800
San Diego, CA 92117-6970

Mailing address

PO Box 17369
San Diego, CA 92177-7369

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address email@jeannettegilmore.com Direct

National Provider Directory

National Provider Directory

Locations

5252 Balboa Ave
Ste 800
San Diego, CA 92117
Phone (619) 404-0578

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1609545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609545600000",
    "number": "1760070171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17369",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921777369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5252 BALBOA AVE STE 800",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176970",
            "telephone_number": "858-882-7872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANNETTE GILMORE INTEGRATIVE THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-02",
        "last_updated": "2021-01-02",
        "certification_date": "2021-01-02",
        "status": "A",
        "authorized_official_last_name": "GILMORE",
        "authorized_official_first_name": "JEANNETTE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-882-7872",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "email@jeannettegilmore.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5252 Balboa Ave Ste 800",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921176970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.

Verify at the official NPI Registry.