JEANETTE PENA NPI 1184294175

NPI Information

NPI: 1184294175
Provider Name: JEANETTE PENA
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1303 W WALNUT PKWY
COMPTON, CA
ZIP 90220
Phone: (310) 868-5379
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Jeanette Pena is a mental health counselor in Compton, CA. Jeanette Pena NPI is 1184294175. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1303 W WALNUT PKWY
COMPTON, CA
ZIP 90220-030
Phone: (310) 868-5379

The enumeration date for this NPI number is 6/30/2021 and was last updated on 9/14/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor				No
2	104100000X	Social Worker		ASW109828	CALIFORNIA	No
3	390200000X	Student in an Organized Health Care Education/Training Program				No
4	101YM0800X	Counselor	Mental Health	ASW109828	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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