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ANTAWNY JEFFERSON CERTIFIED COUNSELOR
NPI 1851958045
Counselor - Addiction (Substance Use Disorder) in Los Angeles, CA

Active since May 22, 2019
12021 WILMINGTON AVE, LOS ANGELES, CA 90059(424) 454-6041 Get Directions Write a Review

NPPES record last updated: October 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Antawny Jefferson Certified Counselor NPPES

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

ANTAWNY JEFFERSON CERTIFIED COUNSELOR (NPI 1851958045) is an individual addiction (substance use disorder) provider in Los Angeles, California, licensed in California (17924) and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1851958045
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameANTAWNY JEFFERSONCredential: CERTIFIED COUNSELOR
Location Address12021 WILMINGTON AVELos Angeles, CA 90059-3019
Mailing Address1563 Mission StSan Francisco, CA 94103-2543 · (415) 762-3700 · Fax (415) 865-0119
Phone(424) 454-6041
Sole ProprietorNo
Enumeration DateMay 22, 2019
Last NPPES UpdateOctober 3, 2025
NPPES CertifiedOctober 3, 2025
✔ NPI 1851958045 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 · 17924
12021 WILMINGTON AVE, Los Angeles, CA 90059
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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.

DR. MARC D LEVY MD
Otolaryngology
12021 WILMINGTON AVE, DEPT OF OTOLARYNGOLOGY
LOS ANGELES, CA 90059
Los Angeles County (310) 668-4536
TINA M ROBINSON PA
Physician Assistant
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Los Angeles County (310) 668-4515
PEGGY ANNA DANIELS CADCII
Counselor (Addiction (Substance Use Disorder))
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Los Angeles County (818) 996-1051
BRANDON DORFMAN
Day Training/Habilitation Specialist
12021 WILMINGTON AVE, BUILDING 18 SUITE 4D
LOS ANGELES, CA 90059
Los Angeles County (626) 425-1305
DR. KEITH NORRIS MD
Internal Medicine
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Los Angeles County (310) 668-4515
MS. ZAHRA YAZDANI PA-C
Physician Assistant
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Los Angeles County (310) 668-4515
DR. LATANIA SCI M.D.
Internal Medicine
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Los Angeles County (702) 326-8726
COUNTY OF LOS ANGELES AUDITOR CONTROLLER
Clinic/Center
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Los Angeles County (310) 668-4501

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 Antawny Jefferson's NPI number?

The NPI number for Antawny Jefferson is 1851958045. It was assigned to this individual provider in the NPPES registry on May 22, 2019.

Where is Antawny Jefferson located?

Antawny Jefferson practices at 12021 Wilmington Ave, Los Angeles, CA 90059. The listed phone number is (424) 454-6041.

What is Antawny Jefferson'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 Antawny Jefferson was last updated on October 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.