Active NPI
Katrina Jorgensen
- Mental Health Counselor
- Diamond Springs, CA
National Provider Identifier
1801265079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 21020
- Practice address
- 768 Pleasant Valley Rd
Diamond Springs, CA 95619-9260 - Phone
- (530) 621-6364
- NPI assigned
- Sep 17, 2015
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | CA | ||
| Counselor | 101Y00000X | CA | ||
| Marriage & Family Therapist | 106H00000X | 159324 | CA | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Mental Health Counselor | 101YM0800X | 21020 | CA | Primary |
Addresses
Primary practice location
768 Pleasant Valley Rd
Diamond Springs, CA 95619-9260
Mailing address
768 Pleasant Valley Rd
Diamond Springs, CA 95619-9260
Phone (530) 621-6364
Other practice location 1
3960 Industrial Blvd Ste 600
West Sacramento, CA 95691-3496
Phone (916) 752-8965
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 |
|---|---|---|---|
| 159324 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Family and Community Services | Past | Accepting new patients | |
| Community Research Foundation Inc | Case Manager/Care Coordinator | Past | Accepting new patients |
| Community Research Foundation Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1255693420
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1952328700
Case Manager/Care Coordinator
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- West Sacramento, CA
- NPI 1487120374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763942400000",
"number": "1801265079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "768 PLEASANT VALLEY RD",
"city": "DIAMOND SPRINGS",
"state": "CA",
"postal_code": "956199260",
"telephone_number": "530-621-6364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "768 PLEASANT VALLEY RD",
"city": "DIAMOND SPRINGS",
"state": "CA",
"postal_code": "956199260",
"telephone_number": "530-621-6364"
}
],
"practiceLocations": [
{
"address_1": "3960 Industrial Blvd Ste 600",
"address_purpose": "LOCATION",
"city": "West Sacramento",
"state": "CA",
"postal_code": "956913496",
"country_code": "US",
"telephone_number": "916-752-8965",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JORGENSEN",
"first_name": "KATRINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-17",
"last_updated": "2025-11-24",
"certification_date": "2025-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "159324",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "21020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Diamond Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.