JESSICA L MINCKLEY LMHC, ATR-BC
NPI 1790401339
Counselor - Mental Health in Los Angeles, CA
About Jessica L Minckley Lmhc, Atr-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA L MINCKLEY LMHC, ATR-BC (NPI 1790401339) is an individual mental health provider in Los Angeles, California, licensed in Washington (LH61457229) and active in the NPI registry since October 2022. She has opted out of Medicare through September 10, 2027.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Jessica L Minckley Lmhc, Atr-bc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 10, 2025 through September 10, 2027.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jessica Minckley's NPI number?
The NPI number for Jessica Minckley is 1790401339. It was assigned to this individual provider in the NPPES registry on October 14, 2022.
Where is Jessica Minckley located?
Jessica Minckley practices at 3370 Glendale Blvd # 733, Los Angeles, CA 90039. The listed phone number is (323) 612-0571.
What is Jessica Minckley's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jessica Minckley enrolled in Medicare?
No. Jessica Minckley has opted out of Medicare through September 10, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Jessica Minckley was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.
