Individual provider Active NPI

Janielle Fluke

  • Marriage & Family Therapist
  • Beaumont, CA
National Provider Identifier
1902306103
Registry record updated Feb 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
100891 Issued in CA
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

Updated by the provider on Feb 14, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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

LicenseStateTypeSpecialty
100891CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Meditative Minds Counseling and Wellness Marriage & Family Therapist CurrentSince Oct 24, 2021 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.

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.

Verify at the official NPI Registry.