MRS. JENNIFER JOLLY (NPI# 1699852897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699852897 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER JOLLY |
| Other Name | MISS JENNIFER NASSIMOS |
| Credential | CTRS |
| Practice Address |
1224 Vine St Los Angeles CA 90038-1612 |
| Mailing Address |
606 E Cypress Ave Apt. C Burbank CA 91501-1877 |
| Practice Telephone | 3237696100 |
| Mailing Telephone | 8189722983 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | 46425 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922269869 | Jennifer L Jolly | Social Worker | 371s Main St 202a, Fall River, MA 02721-5348 | 2008-06-23 |
| 1609388107 | Jennifer Jolly | Behavioral Analyst | 2016 Oak Park Blvd, Lake Charles, LA 70601-7828 | 2017-10-25 |
| 1760820096 | Jennifer C Jolly | Registered Nurse | 824 Illinois Ave, Stevens Point, WI 54481-3112 | 2013-06-09 |
| Street Address |
1224 VINE ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90038-1612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700819331 | Los Angeles County Department of Mental Health | Clinic/Center | 1224 Vine St, Los Angeles, CA 90038-1612 | 2006-07-08 |
| 1689215261 | Daisy Judith Banuelos | Counselor | 1224 Vine St, Los Angeles, CA 90038-1612 | 2019-10-04 |
| 1841831559 | Cindy Lopez | Student in an Organized Health Care Education/Training Program | 1224 Vine St, Los Angeles, CA 90038-1612 | 2019-10-03 |
| 1063061737 | Fay Goldenshteyn | Pharmacist | 1224 Vine St, Los Angeles, CA 90038-1612 | 2019-09-05 |
| 1831756923 | Joel S Jeffries | Counselor | 1224 Vine St, Los Angeles, CA 90038-1612 | 2019-05-23 |
| 1447735469 | Maureen Labern Smith | Case Manager/Care Coordinator | 1224 Vine St, Los Angeles, CA 90038-1612 | 2018-09-25 |
| 1457835761 | Lucy Danielle Taillieu | Student in an Organized Health Care Education/Training Program | 1224 Vine St, Los Angeles, CA 90038-1612 | 2018-09-21 |
| 1164905857 | Kaitlyn B Verbarendse | Student in an Organized Health Care Education/Training Program | 1224 Vine St, Los Angeles, CA 90038-1612 | 2018-09-10 |
| 1114400801 | Carisa Boudreaux | Student in an Organized Health Care Education/Training Program | 1224 Vine St, Los Angeles, CA 90038-1612 | 2018-09-10 |
| 1679054910 | Betsy Ann Ryan | Student in an Organized Health Care Education/Training Program | 1224 Vine St, Los Angeles, CA 90038-1612 | 2018-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114568698 | Kaiser Foundation Health Plan Inc | Pharmacy | 7007 Romaine St, Los Angeles, CA 90038 | 2019-10-04 |
| 1134685613 | National Vision Inc | Technician/Technologist | 5818 Santa Monica Boulevard, Los Angeles, CA 90038 | 2019-02-20 |
| 1023530482 | Christopher Michael Colon | Case Manager/Care Coordinator | 1224 N Vine Street, Los Angeles, CA 90038 | 2017-07-07 |
| 1841736477 | Randall Smith | Counselor | 7000 Romaine, 207-208, La, CA 90038 | 2017-01-06 |
| 1780050278 | Craig V. Smith, M.d., A Professional Medical Corporation | Internal Medicine | 6711 Melrose Ave., Los Angeles, CA 90038 | 2015-08-19 |
| 1033585534 | M2 Recovery, Inc. | Clinic/Center | 6715 Melrose Ave., Los Angeles, CA 90038 | 2015-08-19 |
| 1457760522 | Lital Shvarts | Psychologist | 6311 Romaine St Ste 7329, Los Angeles, CA 90038 | 2014-08-04 |
| 1144658071 | Aaron Niemi | Acupuncturist | 1011 North Cole Ave, Los Angeles, CA 90038 | 2013-11-01 |
| 1013351139 | Suren Vardanyan | Non-emergency Medical Transport (VAN) | 1208 N Gower St, #201, Los Angeles, CA 90038 | 2013-04-19 |
| 1093912966 | Tina Robinson | Registered Nurse | 1224 Vine St., Los Angeles, CA 90038 | 2007-07-02 |
| Find all providers in zip 90038 | ||||
| Taxonomy Code | 225800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreation Therapist |
| A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
| Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699293910 | Amy Caryn Bolenbaugh | Recreation Therapist | 1720 E 120th Street, Los Angeles, CA 90059 | 2017-09-07 |
| 1417475757 | Scott Lee Jones | Recreation Therapist | Augustus F. Hawkins, 1720 E. 120th Street, Rm. 2196, Los Angeles, CA 90059 | 2017-09-07 |
| 1558444745 | Sether M. Hills | Recreation Therapist | 11301 Wilshire Blvd # 117r, Los Angeles, CA 90073-1003 | 2006-10-23 |
| 1609339399 | Don Quy Le | Recreation Therapist | 947 Cole Ave, Los Angeles, CA 90038-2610 | 2019-04-09 |
| 1881106458 | Sharon Mccohn | Recreation Therapist | 1720 E 120th St, Los Angeles, CA 90059-3052 | 2017-11-03 |
| 1154833614 | Victoria Slater | Recreation Therapist | 2051 Marengo St, Los Angeles, CA 90033-1352 | 2017-10-24 |
| 1144732603 | Lorena Correa Villa | Recreation Therapist | 1720 E 120th St, Los Angeles, CA 90059-3052 | 2017-10-24 |
| 1558889717 | Cindy Jean Herceg | Recreation Therapist | 1720 E 120th St, Los Angeles, CA 90059-3052 | 2017-09-07 |
| 1386162824 | Maureen Gates | Recreation Therapist | 1720 E 120th St, Los Angeles, CA 90059-3052 | 2017-09-05 |
| 1932627478 | Willy Huang | Recreation Therapist | 1720 E 120th St, Los Angeles, CA 90059-3052 | 2017-09-05 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90038 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.