Active NPI
Jesus De Dios Jr.
- Marriage & Family Therapist
- San Diego, CA
National Provider Identifier
1851882633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 132241
- Practice address
- 3132 Jefferson St
San Diego, CA 92110-4421 - Phone
- (619) 683-3100
- NPI assigned
- May 28, 2018
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 118020 | CA | |
| Mental Health Counselor | 101YM0800X | 118020 | CA | |
| Mental Health Counselor | 101YM0800X | 7554 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Marriage & Family Therapist | 106H00000X | 132241 | CA | Primary |
Addresses
Primary practice location
3132 Jefferson St
San Diego, CA 92110-4421
Mailing address
2801 B St # 249
San Diego, CA 92102-2208
Other practice location 1
8910 Clairemont Mesa Blvd
San Diego, CA 92123-1104
Phone (858) 514-5100
Other practice location 2
2865 Logan Ave
San Diego, CA 92113-2411
Phone (619) 232-4357
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118020 | CA | MD | Clinical Social Worker |
| 132241 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678838400000",
"number": "1851882633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 B ST # 249",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921022208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3132 JEFFERSON ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921104421",
"telephone_number": "619-683-3100"
}
],
"practiceLocations": [
{
"address_1": "8910 Clairemont Mesa Blvd",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921231104",
"country_code": "US",
"telephone_number": "858-514-5100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2865 Logan Ave",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921132411",
"country_code": "US",
"telephone_number": "619-232-4357",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DE DIOS",
"first_name": "JESUS",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-28",
"last_updated": "2023-03-15",
"certification_date": "2023-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "118020",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "118020",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "7554",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "132241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.