MARY NIRMALA JEROME
NPI 1730644709
Counselor - Mental Health in La Mesa, CA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mary Nirmala Jerome is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mary Jerome reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Jose, CA 95113
- Reassigned Medicare billing, California enrollment
- 3,139 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Which organization bills Medicare for Mary Jerome's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Jerome reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Jerome's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Mary Nirmala Jerome · NPI 1730644709
Mental Health provider in La Mesa, California. Individual provider, active in the CMS NPPES registry since February 4, 2019.
## Identity
- **NPI:** 1730644709 (Entity type: Individual)
- **Enumerated:** February 4, 2019
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** LPCC11338 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4700 SPRING ST STE NO301, La Mesa, CA 91942-0263
- **Phone:** (619) 800-5516
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Grow Healthcare Group PC (NPI 1154994846, San Jose, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 24, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1730644709) · Data from the CMS NPPES public registry.