Individual provider Active NPI

Jaime Jasser-Stone, PH.D., LMHC, LPCC

  • Mental Health Counselor
  • Livermore, CA
National Provider Identifier
1831520618
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH10000 Issued in FL
Practice address
2150 Portola Ave # D107
Livermore, CA 94551-1784
Phone
(352) 222-9278
NPI assigned
Dec 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH10000 FL Primary

Addresses

Primary practice location

2150 Portola Ave # D107
Livermore, CA 94551-1784

Mailing address

2150 Portola Ave # D107
Livermore, CA 94551-1784
Phone (352) 222-9278

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2024 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MH10000FLMDMental Health Counselor
13893CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Jaime L Jasser Mental Health Current Accepting new patients
Jasser-Stone LLC Mental Health Current Accepting new patients

Locations

2240 NW 40th Ter
Ste A
Gainesville, FL 32605
Phone (352) 222-9278

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.

NPI Registry JSON

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

{
    "created_epoch": "1386115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1831520618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 PORTOLA AVE # D107",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945511784",
            "telephone_number": "352-222-9278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 PORTOLA AVE # D107",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945511784",
            "telephone_number": "352-222-9278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASSER-STONE",
        "first_name": "JAIME",
        "credential": "PH.D., LMHC, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-04",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH10000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livermore, CA

Sources for this page

Verify at the official NPI Registry.