JONATHAN LY M.A.
NPI 1164979126
Counselor - Mental Health in Garden Grove, CA

Active since September 07, 2016
11277 GARDEN GROVE BLVD, SUITE 100, GARDEN GROVE, CA 92843(714) 620-8131 Get Directions Write a Review

NPPES record last updated: September 7, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jonathan Ly M.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN LY M.A. (NPI 1164979126) is an individual mental health provider in Garden Grove, California and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1164979126
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJONATHAN LYCredential: M.A.
Location Address11277 GARDEN GROVE BLVD, SUITE 100Garden Grove, CA 92843-1340
Mailing Address11277 Garden Grove Blvd, Suite 100Garden Grove, CA 92843-1340
Sole ProprietorYes
Enumeration DateSeptember 7, 2016
NPI 1164979126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
11277 GARDEN GROVE BLVD, Garden Grove, CA 92843

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
11277 GARDEN GROVE BLVD
GARDEN GROVE, CA 92843
Counselor (Mental Health)
11277 GARDEN GROVE BLVD, SUITE 100
GARDEN GROVE, CA 92843
Counselor (Mental Health)
11277 GARDEN GROVE BLVD
GARDEN GROVE, CA 92843
Counselor (Mental Health)
11277 GARDEN GROVE BLVD
GARDEN GROVE, CA 92843
Counselor (Mental Health)
11277 GARDEN GROVE BLVD
GARDEN GROVE, CA 92843
Non-emergency Medical Transport (VAN)
11277 GARDEN GROVE BLVD
GARDEN GROVE, CA 92843

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Ly's NPI number?

The NPI number for Jonathan Ly is 1164979126. It was assigned to this individual provider in the NPPES registry on September 7, 2016.

Where is Jonathan Ly located?

Jonathan Ly practices at 11277 Garden Grove Blvd Suite 100, Garden Grove, CA 92843. The listed phone number is (714) 620-8131.

What is Jonathan Ly's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jonathan Ly was last updated on September 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.