Active NPI
David Tablante Javate
- Mental Health Counselor
- Pacifica, CA
National Provider Identifier
1801408471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 480 Manor PLZ
Pacifica, CA 94044-1839 - Phone
- (650) 591-9623
- NPI assigned
- Aug 17, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
480 Manor PLZ
Pacifica, CA 94044-1839
Mailing address
480 Manor PLZ
Pacifica, CA 94044-1839
Phone (650) 591-9623
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 22, 2024 through Dec 22, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597622400000",
"number": "1801408471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "480 MANOR PLZ",
"city": "PACIFICA",
"state": "CA",
"postal_code": "940441839",
"telephone_number": "650-591-9623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 MANOR PLZ",
"city": "PACIFICA",
"state": "CA",
"postal_code": "940441839",
"telephone_number": "650-591-9623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAVATE",
"first_name": "DAVID",
"middle_name": "TABLANTE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-17",
"last_updated": "2020-08-17",
"certification_date": "2020-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pacifica, CA
- Arthur Ray Hunt
- Dana Ilvedson, RD
- Inspired Lives Counseling
- Jose Ricardo Iraheta Jr., MFTI
- Rosemary A Jalovaara, MA LLP MFT
- Sarah Jane Jeffryes, M.S, M.F.T
- Christopher Henry Jen Kin, DDS
- Jennifer Quirante Professional Optometry Corp (Rockaway Beach Optometry)
- Mattias Johansson
- Karen Sue Johnson, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.