JEANNIE LY
NPI 1578017125
Counselor - Professional in Moreno Valley, CA

Q: What is Jeannie Ly's NPI number?

The NPI number for Jeannie Ly is 1578017125. It was assigned to this individual provider in the NPPES registry on August 12, 2016.

Q: What is Jeannie Ly's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Jeannie Ly was last updated on August 12, 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.

Active since August 12, 2016

14687 ROUND LEAF RD, MORENO VALLEY, CA 92555(951) 488-1929 Get Directions Write a Review

NPPES record last updated: August 12, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jeannie Ly NPPES

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

JEANNIE LY (NPI 1578017125) is an individual professional provider in Moreno Valley, California, licensed in California (PCCI2179) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1578017125

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameJEANNIE LY

Location Address14687 ROUND LEAF RDMoreno Valley, CA 92555-4742

Mailing Address14687 Round Leaf RdMoreno Valley, CA 92555-4742

Phone(951) 488-1929

Sole ProprietorNo

Enumeration DateAugust 12, 2016

✔ NPI 1578017125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in CA · PCCI2179

Also ListedCounselor · SchoolTaxonomy 101YS0200X

14687 ROUND LEAF RD, Moreno Valley, CA 92555

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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 Jeannie Ly's NPI number?

The NPI number for Jeannie Ly is 1578017125. It was assigned to this individual provider in the NPPES registry on August 12, 2016.

Where is Jeannie Ly located?

Jeannie Ly practices at 14687 Round Leaf Rd, Moreno Valley, CA 92555. The listed phone number is (951) 488-1929.

What is Jeannie Ly's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Jeannie Ly was last updated on August 12, 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.