Individual provider Active NPI

Sandra F Jones-Mendoza, LMFT

  • Mental Health Counselor
  • Patterson, CA
National Provider Identifier
1780177915
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
20793 Issued in CA
Practice address
21 N El Circulo Ave
Patterson, CA 95363-2535
Phone
(209) 892-5902
Fax
(209) 892-7846
NPI assigned
Jun 12, 2018
Last updated
Jun 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 20793 CA Primary

Addresses

Primary practice location

21 N El Circulo Ave
Patterson, CA 95363-2535

Mailing address

1020 Georgetown Ave
Turlock, CA 95382-0836
Phone (209) 613-7097

Other identifiers 1

IdentifierTypeStateIssuer
20793OtherCABOARD OF BEHAVIORAL SCIENCES

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

LicenseStateTypeSpecialty
20793CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Beginnings Child, Adolescent and Family Counseling Inc Single Specialty PastSince Dec 27, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1780177915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 GEORGETOWN AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953820836",
            "telephone_number": "209-613-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 N EL CIRCULO AVE",
            "city": "PATTERSON",
            "state": "CA",
            "postal_code": "953632535",
            "telephone_number": "209-892-5902",
            "fax_number": "209-892-7846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES-MENDOZA",
        "first_name": "SANDRA",
        "middle_name": "F",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-12",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "20793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF BEHAVIORAL SCIENCES",
            "identifier": "20793",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Patterson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.