Active NPI
Jamie Roland, MS APCC
- Professional Counselor
- Riverside, CA
National Provider Identifier
1790288454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- APCC5208
- Practice address
- 4750 Palm Ave
Riverside, CA 92501-4012 - Phone
- (951) 686-0021
- NPI assigned
- Mar 8, 2018
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Professional Counselor | 101YP2500X | APCC5208 | CA | Primary |
Addresses
Primary practice location
4750 Palm Ave
Riverside, CA 92501-4012
Mailing address
15163 Mission St
Hesperia, CA 92345-4218
Phone (760) 684-9963
Other practice location 1
2743 Orange St
Riverside, CA 92501-2538
Phone (760) 684-9963
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APCC5208 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538956800000",
"number": "1790288454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15163 MISSION ST",
"city": "HESPERIA",
"state": "CA",
"postal_code": "923454218",
"telephone_number": "760-684-9963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4750 PALM AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925014012",
"telephone_number": "951-686-0021"
}
],
"practiceLocations": [
{
"address_1": "2743 Orange St",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925012538",
"country_code": "US",
"telephone_number": "760-684-9963",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROLAND",
"first_name": "JAMIE",
"credential": "MS APCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-08",
"last_updated": "2018-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "APCC5208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.