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
- 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 and National Provider Directory roles.
-
- Psychologist
- Arcata, CA
- NPI 1780319038
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.