Individual provider Active NPI

Allegra Lia Jaros, MA, AMFT

  • Mental Health Counselor
  • Chula Vista, CA
National Provider Identifier
1891142915
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
220527 Issued in CA
Practice address
1161 Bay Blvd Ste B
Chula Vista, CA 91911-2670
Phone
(619) 585-7686
NPI assigned
May 18, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Mental Health Counselor 101YM0800X 220527 CA Primary

Addresses

Primary practice location

1161 Bay Blvd Ste B
Chula Vista, CA 91911-2670

Mailing address

1161 Bay Blvd Ste B
Chula Vista, CA 91911-2670
Phone (619) 585-7686

Other practice location 1

4072 Alabama St
San Diego, CA 92104-2402
Phone (949) 466-9313

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)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
220527CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Research Foundation PastSince Aug 18, 2019 Accepting new patients

Organizations & group practices 1

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": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1891142915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 BAY BLVD STE B",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919112670",
            "telephone_number": "619-585-7686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 BAY BLVD STE B",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919112670",
            "telephone_number": "619-585-7686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4072 Alabama St",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921042402",
            "country_code": "US",
            "telephone_number": "949-466-9313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAROS",
        "first_name": "ALLEGRA",
        "middle_name": "LIA",
        "credential": "MA, AMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-18",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "220527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.