Active NPI
Janine Mathis
- Addiction (Substance Use Disorder) Counselor
- Compton, CA
National Provider Identifier
1801298922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- A7860612
- Practice address
- 1218 E Compton Blvd
Compton, CA 90221-3310 - Phone
- (310) 608-1505
- Fax
- (310) 608-1406
- NPI assigned
- Sep 19, 2014
- 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 | A7860612 | CA | Primary |
| Mental Health Counselor | 101YM0800X | M1303261336 | CA |
Addresses
Primary practice location
1218 E Compton Blvd
Compton, CA 90221-3310
Mailing address
1218 E Compton Blvd
Compton, CA 90221-3310
Phone (310) 608-1505
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 |
|---|---|---|---|
| A7860612 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| M1303261336 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JWCH Institute Inc. | Past | Accepting new patients | |
| JWCH | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Case Management Agency
- Compton, CA
- NPI 1952748246
-
dba Solution Family Resource Center
- Recovery Care Clinic/Center
- Compton, CA
- NPI 1780860502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411084800000",
"number": "1801298922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1218 E COMPTON BLVD",
"city": "COMPTON",
"state": "CA",
"postal_code": "902213310",
"telephone_number": "310-608-1505",
"fax_number": "310-608-1406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1218 E COMPTON BLVD",
"city": "COMPTON",
"state": "CA",
"postal_code": "902213310",
"telephone_number": "310-608-1505",
"fax_number": "310-608-1406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHIS",
"first_name": "JANINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-19",
"last_updated": "2014-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "A7860612",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "M1303261336",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Compton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.