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MARY NIRMALA JEROME
NPI 1730644709
Counselor - Mental Health in La Mesa, CA

Active since February 04, 2019PECOS Enrolled
4700 SPRING ST STE NO301, LA MESA, CA 91942(619) 800-5516 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 13, 2019, Feb 4, 2019 (2 updates tracked since 2019).

About Mary Nirmala Jerome NPPES

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

MARY NIRMALA JEROME (NPI 1730644709) is an individual mental health provider in La Mesa, California, licensed in California (LPCC11338) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730644709
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARY NIRMALA JEROME
Location Address4700 SPRING ST STE NO301La Mesa, CA 91942-0263
Mailing Address10626 Louisa DrLa Mesa, CA 91941-7059 · (619) 800-5516
Phone(619) 800-5516
Sole ProprietorNo
Enumeration DateFebruary 4, 2019
Last NPPES UpdateApril 24, 20232 updates tracked since enumeration
NPPES CertifiedApril 23, 2023
✔ NPI 1730644709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · LPCC11338
4700 SPRING ST STE NO301, La Mesa, CA 91942
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Nirmala Jerome 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.

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 Mary Jerome's NPI number?

The NPI number for Mary Jerome is 1730644709. It was assigned to this individual provider in the NPPES registry on February 4, 2019.

Where is Mary Jerome located?

Mary Jerome practices at 4700 Spring St Ste No301, La Mesa, CA 91942. The listed phone number is (619) 800-5516.

What is Mary Jerome's specialty?

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

Is Mary Jerome enrolled in Medicare?

Yes. Mary Jerome is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Jerome was last updated on April 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.