Active NPI
Janielle Fluke
- Marriage & Family Therapist
- Beaumont, CA
National Provider Identifier
1902306103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 100891
- Practice address
- 13047 Bowker Play CT
Beaumont, CA 92223-8088 - Phone
- (805) 285-8466
- NPI assigned
- Feb 14, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | |||
| Marriage & Family Therapist | 106H00000X | 100891 | CA | Primary |
Addresses
Primary practice location
13047 Bowker Play CT
Beaumont, CA 92223-8088
Mailing address
13047 Bowker Play CT
Beaumont, CA 92223-8088
Phone (805) 285-8466
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100891 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meditative Minds Counseling and Wellness | Marriage & Family Therapist | Current | Accepting new patients |
Locations
2806 Cochran St
Ste A
Simi Valley, CA 93065
Phone (805) 285-8466
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.
-
- Marriage & Family Therapist
- Simi Valley, CA
- NPI 1912660796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518566400000",
"number": "1902306103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13047 BOWKER PLAY CT",
"city": "BEAUMONT",
"state": "CA",
"postal_code": "922238088",
"telephone_number": "805-285-8466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13047 BOWKER PLAY CT",
"city": "BEAUMONT",
"state": "CA",
"postal_code": "922238088",
"telephone_number": "805-285-8466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLUKE",
"first_name": "JANIELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-14",
"last_updated": "2018-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "100891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaumont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.