Individual provider Active NPI

Jewell Josephine Banks

  • Peer Specialist
  • Elk Grove, CA
National Provider Identifier
1801367289
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
MPSS-YDKBQC Issued in CA
Practice address
3161 Dwight Rd
Elk Grove, CA 95758-6456
Phone
(714) 191-6427
NPI assigned
Dec 11, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X MPSS-YDKBQC CA Primary
Counselor 101Y00000X
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

3161 Dwight Rd
Elk Grove, CA 95758-6456

Mailing address

5250 Claremont Ave Ste 135
Stockton, CA 95207-5700
Phone (209) 923-3488

Other practice location 1

729 N California St
Stockton, CA 95202-1817
Phone (209) 948-1911

Other practice location 2

1212 N California St
Stockton, CA 95202-1552
Phone (209) 468-9373

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
MPSS-YDKBQCCAMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Center-Youth & Family Services Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1801367289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 CLAREMONT AVE STE 135",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075700",
            "telephone_number": "209-923-3488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 DWIGHT RD",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957586456",
            "telephone_number": "714-191-6427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "729 N California St",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952021817",
            "country_code": "US",
            "telephone_number": "209-948-1911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1212 N California St",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952021552",
            "country_code": "US",
            "telephone_number": "209-468-9373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANKS",
        "first_name": "JEWELL",
        "middle_name": "JOSEPHINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-11",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSS-YDKBQC",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; 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.