Individual provider Active NPI

Jolene Mahoney-Beaver, MA, LPPC

  • Mental Health Counselor
  • Fremont, CA
National Provider Identifier
1881021210
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7832 Issued in CA
Practice address
39369 Mariposa Way
Fremont, CA 94538-1236
Phone
(510) 284-2183
NPI assigned
Sep 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X PCI192 CA
Mental Health Counselor 101YM0800X 7832 CA Primary

Addresses

Primary practice location

39369 Mariposa Way
Fremont, CA 94538-1236

Mailing address

39369 Mariposa Way
Fremont, CA 94538-1236
Phone (510) 284-2183

Other practice location 1

1500 Franklin St
San Francisco, CA 94109-4523
Phone (510) 984-1656

Other practice location 2

39500 Stevenson Pl Ste 203
Fremont, CA 94539-3103
Phone (510) 984-1656

Other practice location 3

39155 Liberty St Ste D420
Fremont, CA 94538-1513
Phone (510) 371-0042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MD2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240827002848 CA Practitioner - Mental Health Counselor 7719426394 Reassigns benefits to 1 organization
Practice locations: Fremont, CA
I20260424000331 MD Practitioner - Mental Health Counselor 7719426394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
National Deaf TherapyGroup PAC ID 8921438946, 8 clinicians

Practice addresses (Care Compare)

Long Beach, CA 90814
Phone (800) 475-0711

13359 N Hwy 183
Suite 406 685
Austin, TX 78750-7153

5000 Thayer Ctr
C
Oakland, MD 21550-1139
Phone (800) 475-0711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
7832CAMDMental Health Counselor
PCI192CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Biosomatics Beyond Body Mental Health CurrentSince Nov 4, 2025 Accepting new patients
National Deaf Therapy Mental Health CurrentSince Jun 3, 2024 Accepting new patients
Felton Institute Past Accepting new patients
Felton Institute Past Accepting new patients

Locations

5000 Thayer Ctr
#C
Oakland, MD 21550
Phone (202) 596-6950

13359 N Highway 183
Ste 406685
Austin, TX 78750

Organizations & group practices 4

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": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1881021210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39369 MARIPOSA WAY",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381236",
            "telephone_number": "510-284-2183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39369 MARIPOSA WAY",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381236",
            "telephone_number": "510-284-2183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Franklin St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941094523",
            "country_code": "US",
            "telephone_number": "510-984-1656",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "39500 Stevenson Pl Ste 203",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945393103",
            "country_code": "US",
            "telephone_number": "510-984-1656",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "39155 Liberty St Ste D420",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945381513",
            "country_code": "US",
            "telephone_number": "510-371-0042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHONEY-BEAVER",
        "first_name": "JOLENE",
        "name_prefix": "Mrs.",
        "credential": "MA, LPPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-30",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "PCI192",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "7832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.