Individual provider Active NPI

Jared Carter Nelson

  • Student in an Organized Health Care Education/Training Program
  • Los Angeles, CA
National Provider Identifier
1972104552
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
13019 Issued in CA
Practice address
9100 S Sepulveda Blvd Ste 105
Los Angeles, CA 90045-4849
Phone
(310) 644-3659
NPI assigned
Nov 2, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 13019 CA Primary

Addresses

Primary practice location

9100 S Sepulveda Blvd Ste 105
Los Angeles, CA 90045-4849

Mailing address

4215 Don Tomaso Dr Apt 15
Los Angeles, CA 90008-5344
Phone (831) 809-6659

Other practice location 1

1334 Post Ave
Torrance, CA 90501-2620
Phone (310) 328-1460

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
13019CAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Services, Inc. PastSince Jun 3, 2025 Accepting new patients
Behavioral Health Services, Inc. PastSince Nov 1, 2020 Accepting new patients

Organizations & group practices 2

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": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1972104552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 DON TOMASO DR APT 15",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900085344",
            "telephone_number": "831-809-6659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 S SEPULVEDA BLVD STE 105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900454849",
            "telephone_number": "310-644-3659"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1334 Post Ave",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905012620",
            "country_code": "US",
            "telephone_number": "310-328-1460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JARED",
        "middle_name": "CARTER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-02",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "13019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; 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.