JESSICA KOHANBASH
NPI 1629621784
Social Worker - Clinical in Mission Hills, CA

Active since July 18, 2019PECOS Enrolled
10200 SEPULVEDA BLVD STE 180, MISSION HILLS, CA 91345(310) 995-0237 Get Directions Write a Review

NPPES record last updated: July 18, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jessica Kohanbash NPPES

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

JESSICA KOHANBASH (NPI 1629621784) is an individual clinical provider in Mission Hills, California, licensed in California (LCSW76091) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629621784
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJESSICA KOHANBASH
Location Address10200 SEPULVEDA BLVD STE 180Mission Hills, CA 91345-2654
Mailing Address1464 Beverwil DrLos Angeles, CA 90035-2909 · (310) 995-0237
Sole ProprietorNo
Enumeration DateJuly 18, 2019
NPI 1629621784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CA · LCSW76091
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

10200 SEPULVEDA BLVD STE 180, Mission Hills, CA 91345

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jessica Kohanbash is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91345 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

Psychologist (Clinical)
10200 SEPULVEDA BLVD STE 180
MISSION HILLS, CA 91345
Marriage & Family Therapist
10200 SEPULVEDA BLVD STE 180
MISSION HILLS, CA 91345
Marriage & Family Therapist
10200 SEPULVEDA BLVD STE 180
MISSION HILLS, CA 91345
Marriage & Family Therapist
10200 SEPULVEDA BLVD STE 180
MISSION HILLS, CA 91345
Counselor (Mental Health)
10200 SEPULVEDA BLVD STE 180
MISSION HILLS, CA 91345
Counselor (Mental Health)
10200 SEPULVEDA BLVD STE 180
MISSION HILLS, CA 91345
Social Worker (Clinical)
10200 SEPULVEDA BLVD STE 180
MISSION HILLS, CA 91345

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629621784, enumerated as an "individual" on July 18, 2019.

The provider is located at 10200 SEPULVEDA BLVD STE 180 MISSION HILLS, CA 91345 and the phone number is (310) 995-0237.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.