Jessica Rae Dineen, MS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

12451 Issued in CA

Practice address

11835 W Olympic Blvd Ste 815E
Los Angeles, CA 90064-5056

Phone

(323) 332-9905

NPI assigned

Oct 20, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jessica Rae Mullican Former name

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

Specialty

Mental Health Counselor

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Meridian CounselingGroup PAC ID 6305284803, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Meridian Counseling

  • Marriage & Family Therapist
  • Los Angeles, CA
  • NPI 1396202206
  Medicare reassignment Care Compare group NPD
• Oc Trauma Therapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Aliso Viejo, CA
  • NPI 1982541553
  NPD Authorized official
• California Behavioral & Nursing Professionals PC

  • Mental Health Counselor
  • Fair Oaks, CA
  • NPI 1528625209
  NPD (past)

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1780910133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27711 NIGUEL VILLAGE DR",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926774017",
            "telephone_number": "949-280-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11835 W OLYMPIC BLVD STE 815E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900645056",
            "telephone_number": "323-332-9905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4112 Crestline Ave",
            "address_purpose": "LOCATION",
            "city": "Fair Oaks",
            "state": "CA",
            "postal_code": "956287103",
            "country_code": "US",
            "telephone_number": "916-903-7778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DINEEN",
        "first_name": "JESSICA",
        "middle_name": "RAE",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-20",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "12451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "MULLICAN",
            "middle_name": "RAE",
            "credential": "APCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Aleem S Dinani, PT
• Anthony Dinardo III, PSY.D.
• Mona Dinari, L.AC.
• Carla Dinarte
• Fleuri Dindar
• Matthew Charles Dineen
• Elizabeth Gelbard Dinerstein
• Franklin Howard Dines, MD
• Catherine Ding
• Liang Ding, MD

• Professional Counselor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.