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MISS JESSICA BRIANA SAMPLE
NPI 1932758869
Counselor - Mental Health in Pomona, CA

Active since September 04, 2019
1050 N GAREY AVE, POMONA, CA 91767(909) 623-6391(909) 620-9491 Get Directions Write a Review

NPPES record last updated: January 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 13, 2022, Dec 13, 2021, Sep 4, 2019 (3 updates tracked since 2019).

About Miss Jessica Briana Sample NPPES

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

MISS JESSICA BRIANA SAMPLE (NPI 1932758869) is an individual mental health provider in Pomona, California, licensed in California (19-155) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1932758869
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMISS JESSICA BRIANA SAMPLE
Location Address1050 N GAREY AVEPomona, CA 91767-3802
Mailing Address1050 N Garey AvePomona, CA 91767-3802 · (909) 620-9491 · Fax (909) 623-6391
Phone(909) 623-6391
Fax(909) 620-9491
Sole ProprietorNo
Enumeration DateSeptember 4, 2019
Last NPPES UpdateJanuary 13, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2022
✔ NPI 1932758869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · 19-155
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 19-155 (CA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1050 N GAREY AVE, Pomona, CA 91767
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Other Identifiers 1

Medicaid1023173135CA

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.

CAMERON SIDNEY
Counselor (Addiction (Substance Use Disorder))
1050 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 623-6391
JENNIFER BERNDT M.A.
Counselor (Addiction (Substance Use Disorder))
1050 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 623-6391
AEGIS TREATMENT CENTERS, LLC
Clinic/Center (Methadone)
1050 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 623-6391
ELIZABETH AMAYA
Counselor (Addiction (Substance Use Disorder))
1050 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 623-6397
SABRINA MARIE JONES SUDCC
Counselor (Addiction (Substance Use Disorder))
1050 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 623-6391
MR. CODY C. ROGERS
Counselor (Addiction (Substance Use Disorder))
1050 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 623-6391
JILL TEAGARDIN
Counselor (Addiction (Substance Use Disorder))
1050 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 623-6397
JOHN EDWARD PRATER SR.
Counselor (Addiction (Substance Use Disorder))
1050 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 623-6391

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 Sample's NPI number?

The NPI number for Jessica Sample is 1932758869. It was assigned to this individual provider in the NPPES registry on September 4, 2019.

Where is Jessica Sample located?

Jessica Sample practices at 1050 N Garey Ave, Pomona, CA 91767. The listed phone number is (909) 623-6391.

What is Jessica Sample's specialty?

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

When was this NPI record last updated?

The NPPES record for Jessica Sample was last updated on January 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.