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JONATHAN WILLIAM KOLE MD
NPI 1801233945
Psychiatry & Neurology - Child & Adolescent Psychiatry in Santa Monica, CA

Active since May 30, 2013PECOS Enrolled
2417 MICHIGAN AVE, SANTA MONICA, CA 90404(855) 446-4374(415) 520-6405 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 21, 2020, Jul 2, 2018 (2 updates tracked since 2018).

About Jonathan William Kole Md NPPES

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

JONATHAN WILLIAM KOLE MD (NPI 1801233945) is an individual child & adolescent psychiatry provider in Santa Monica, California, licensed in California (A169665) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS and is a graduate of Perelman School Of Med At The University Of Pennsylvania (2013).

NPPES Registry Identity

NPI1801233945
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameJONATHAN WILLIAM KOLECredential: MD
Location Address2417 MICHIGAN AVESanta Monica, CA 90404-4009
Mailing Address2417 Michigan AveSanta Monica, CA 90404-4009 · (855) 446-4374 · Fax (415) 520-6405
Phone(855) 446-4374
Fax(415) 520-6405
Sole ProprietorYes
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 2013
Enumeration DateMay 30, 2013
Last NPPES UpdateOctober 29, 20242 updates tracked since enumeration
NPPES CertifiedOctober 29, 2024
✔ NPI 1801233945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in CA · A169665
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 2020013190 (MO), MD15904 (RI)
2417 MICHIGAN AVE, Santa Monica, CA 90404
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan William Kole Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406074715
PECOS Enrollment IDI20260506003818
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.

Medicare Billing Reassignment

Medicare enrollment records show Jonathan Kole reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Headspace Medical Group (ca), P.C.
340 mi
Adult Mental Health
595 MARKET ST STE 700
San Francisco, CA 94105
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Headspace Medical Group Ca PC
NPI 1912362252 (855) 446-4374

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

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

HEADSPACE MEDICAL GROUP (KS) LLC
Clinic/Center (Adult Mental Health)
2417 MICHIGAN AVE
SANTA MONICA, CA 90404
Los Angeles County (855) 446-4374
HEADSPACE MEDICAL GROUP (NJ) LLC
Clinic/Center (Adult Mental Health)
2417 MICHIGAN AVE
SANTA MONICA, CA 90404
Los Angeles County (855) 446-4374
HEADSPACE MEDICAL GROUP (CA), P.C.
Clinic/Center (Adult Mental Health)
2417 MICHIGAN AVE
SANTA MONICA, CA 90404
Los Angeles County (855) 446-4374
BEVERLY IBEH
Psychologist (Clinical)
2417 MICHIGAN AVE
SANTA MONICA, CA 90404
Los Angeles County (855) 446-4374
JASMINE RAYSOR
Student in an Organized Health Care Education/Training Program
2417 MICHIGAN AVE
SANTA MONICA, CA 90404
Los Angeles County (443) 201-1570
HALEY SPEER LCSW
Social Worker (Clinical)
2417 MICHIGAN AVE
SANTA MONICA, CA 90404
Los Angeles County (855) 446-4374

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 Jonathan Kole's NPI number?

The NPI number for Jonathan Kole is 1801233945. It was assigned to this individual provider in the NPPES registry on May 30, 2013.

Where is Jonathan Kole located?

Jonathan Kole practices at 2417 Michigan Ave, Santa Monica, CA 90404. The listed phone number is (855) 446-4374.

What is Jonathan Kole's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Jonathan Kole enrolled in Medicare?

Yes. Jonathan Kole is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jonathan Kole's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Kole reassigns Medicare benefits to Headspace Medical Group (ca), P.C. (San Francisco, 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 Jonathan Kole's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathan Kole accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and HMO Louisiana list Jonathan Kole as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jonathan Kole was last updated on October 29, 2024. 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.