Jam Family Counselng Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

JAM FAMILY COUNSELNG INC

Practice address

2900 Bristol St Ste B320
Costa Mesa, CA 92626-5987

Phone

(509) 319-0845

NPI assigned

Apr 5, 2021

Organization subpart

No

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

Authorized official

Name

Jason Brumback

Title

President

Phone

(509) 319-0845

Specialties & licenses 1

Addresses

Other names 1

• Resurface Group of OC Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617580800000",
    "number": "1851970149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 BRISTOL ST STE B320",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265987",
            "telephone_number": "509-319-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 BRISTOL ST STE B320",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265987",
            "telephone_number": "509-319-0845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAM FAMILY COUNSELNG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "BRUMBACK",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-319-0845"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jason@theresurfacegroup.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2900 Bristol St Ste B320",
            "city": "Costa Mesa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926265987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Resurface Group of OC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Harvey Jaffe, M.D.
• Lakshay Jain, MD
• Ali Salman Jalali
• Mahtab Farahani Jalali, DPT, PT
• Lindsey Jaleh
• Sagar Jambusaria
• Sasha Madison James, LMFT
• Lily Mai Jamison, OTA/L
• Alyssa Mae Padernal Jamotillo
• Gabrielle Jannotta

• Mental Health Clinic/Center (Including Community Mental Health Center) in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.