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JENNIFER MYRA MARIE VAN BEURDEN R1464360322
NPI 1689451569
Counselor - Addiction (Substance Use Disorder) in Morro Bay, CA

Active since September 13, 2023
2460 MAIN ST, MORRO BAY, CA 93442(805) 235-5615 Get Directions Write a Review

NPPES record last updated: September 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer Myra Marie Van Beurden R1464360322 NPPES

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

JENNIFER MYRA MARIE VAN BEURDEN R1464360322 (NPI 1689451569) is an individual addiction (substance use disorder) provider in Morro Bay, California, licensed in California (R1464360322) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1689451569
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJENNIFER MYRA MARIE VAN BEURDENCredential: R1464360322
Location Address2460 MAIN STMorro Bay, CA 93442-1552
Mailing Address2460 Main StMorro Bay, CA 93442-1552 · (805) 235-5615
Phone(805) 235-5615
Sole ProprietorYes
Enumeration DateSeptember 13, 2023
NPPES CertifiedSeptember 13, 2023
✔ NPI 1689451569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · R1464360322
2460 MAIN ST, Morro Bay, CA 93442
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Other Providers at the Same Location NPPES 20

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

RAHA NOORAFSHANI LVN
Licensed Vocational Nurse
2460 MAIN ST
MORRO BAY, CA 93442
San Luis Obispo County (805) 772-2212
CAMILLE JANIQUE THIBODEAUX
Licensed Vocational Nurse
2460 MAIN ST
MORRO BAY, CA 93442
San Luis Obispo County (805) 772-2212
JULIE NICOLE DATTER RADT
Counselor (Addiction (Substance Use Disorder))
2460 MAIN ST
MORRO BAY, CA 93442
San Luis Obispo County (805) 772-2212
KATHLEEN MARYANNE KRALIK
Counselor (Addiction (Substance Use Disorder))
2460 MAIN ST
MORRO BAY, CA 93442
San Luis Obispo County (805) 772-2212
RICHARD LINCOLN DONALD V RADT
Counselor
2460 MAIN ST
MORRO BAY, CA 93442
San Luis Obispo County (805) 888-9619
CARL MESMER
Counselor (Addiction (Substance Use Disorder))
2460 MAIN ST
MORRO BAY, CA 93442
San Luis Obispo County (805) 772-2212
JOSHUA DAVID HOGGATT PSYCH TECH
Licensed Psychiatric Technician
2460 MAIN ST
MORRO BAY, CA 93442
San Luis Obispo County (805) 772-2212
KAITLIN LIANNE MUSTARD LPT
Licensed Psychiatric Technician
2460 MAIN ST
MORRO BAY, CA 93442
San Luis Obispo County (805) 235-6222

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 Jennifer Van Beurden's NPI number?

The NPI number for Jennifer Van Beurden is 1689451569. It was assigned to this individual provider in the NPPES registry on September 13, 2023.

Where is Jennifer Van Beurden located?

Jennifer Van Beurden practices at 2460 Main St, Morro Bay, CA 93442. The listed phone number is (805) 235-5615.

What is Jennifer Van Beurden's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jennifer Van Beurden was last updated on September 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.