Jeannette Monique Saenz, M.A., CATC IV 23382

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2180 Johnson Ave
SN Luis Obisp, CA 93401-4558

Phone

(805) 788-8743

NPI assigned

Jun 17, 2008

Last updated

Oct 30, 2024By 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

• Jeannette Monique Garcia Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• County of San Luis Obispo

  dba San Luis Obispo County Jail Healthcare

  • Prison Health Clinic/Center
  • San Luis Obispo, CA
  • NPI 1851073134
  NPD (past)

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1811158413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 JOHNSON AVE",
            "city": "SN LUIS OBISP",
            "state": "CA",
            "postal_code": "934014558",
            "telephone_number": "805-788-8743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 JOHNSON AVE",
            "city": "SN LUIS OBISP",
            "state": "CA",
            "postal_code": "934014558",
            "telephone_number": "805-788-8743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1585 Kansas Ave",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934057604",
            "country_code": "US",
            "telephone_number": "805-788-2795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAENZ",
        "first_name": "JEANNETTE",
        "middle_name": "MONIQUE",
        "name_prefix": "Mrs.",
        "credential": "M.A., CATC IV 23382",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "23382",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNETTE",
            "last_name": "GARCIA",
            "middle_name": "MONIQUE",
            "credential": "B.A., CATC IV 23382",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joseph W Diehl III, M.D.
• Heather Hunter

• Case Manager/Care Coordinator in SN Luis Obisp, CA
• Providers in SN Luis Obisp, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.