Jenica Loren McKeown, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

62086 Issued in CA

Practice address

2831 Camino del Rio S Ste 203
San Diego, CA 92108-3828

Phone

(858) 683-3793

NPI assigned

Dec 9, 2006

Last updated

Nov 4, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Jenica Loren Cohen-Richards Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Feb 15, 2024 through Feb 15, 2028

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Well-Mamas Family Counseling, a Professional Corporation

  dba Well-Mamas Counseling

  • Marriage & Family Therapist
  • San Diego, CA
  • NPI 1942863030

  Clinical

  NPD
• Community Research Foundation Inc

  dba New Vistas

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1346463932
  NPD (past)
• Community Research Foundation Inc

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1952328700

  Clinical

  NPD (past)

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

{
    "created_epoch": "1165622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1801956156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 CAMINO DEL RIO S STE 203",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083828",
            "telephone_number": "858-683-3793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 CAMINO DEL RIO S STE 203",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083828",
            "telephone_number": "858-683-3793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEOWN",
        "first_name": "JENICA",
        "middle_name": "LOREN",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-09",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "62086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENICA",
            "last_name": "COHEN-RICHARDS",
            "middle_name": "LOREN",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Audrey E McKenzie, PTA
• Colleen McKenzie, BCBA
• Franceska Renee McKenzie, AMFT, APCC
• Maia Renee McKenzie, OTR/L
• Aislinn McKeown, MS OTR/L
• Sarah Jo McKeown, M.S., CCC-SLP
• Sean Michael McKeown, PHYSICAL THERAPIST
• Todd McKeown
• Ruth Ann McKercher, PH.D.
• Katherine McKernan, SLPD, CCC-SLP

• Clinical Social Worker in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.