Active NPI
Jessica April Lara, PSYD
- Psychologist
- Arcata, CA
National Provider Identifier
1992174965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 30688
- Practice address
- 801 Crescent Way Ste 4
Arcata, CA 95521-6781 - Phone
- (707) 677-8200
- Fax
- (707) 826-8638
- NPI assigned
- Sep 21, 2015
- Last updated
- Jan 24, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 30688 | CA | Primary |
Addresses
Primary practice location
801 Crescent Way Ste 4
Arcata, CA 95521-6781
Mailing address
801 Crescent Way Ste 4
Arcata, CA 95521-6781
Phone (707) 677-8200
Other names 1
- Jessica April Fouks
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Growth Psychology Inc | Psychologist | Current | Accepting new patients |
Locations
801 Crescent Way
Ste 4
Arcata, CA 95521
Phone (707) 677-8200
350 E St
Ste 305
Eureka, CA 95501
Phone (707) 677-8200
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737676800000",
"number": "1992174965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 CRESCENT WAY STE 4",
"city": "ARCATA",
"state": "CA",
"postal_code": "955216781",
"telephone_number": "707-677-8200",
"fax_number": "707-826-8638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 CRESCENT WAY STE 4",
"city": "ARCATA",
"state": "CA",
"postal_code": "955216781",
"telephone_number": "707-677-8200",
"fax_number": "707-826-8638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARA",
"first_name": "JESSICA",
"middle_name": "APRIL",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-21",
"last_updated": "2025-01-24",
"certification_date": "2025-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "30688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "FOUKS",
"middle_name": "APRIL",
"credential": "MA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Arcata, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.