JEFFREY BLAKE BISSELL
NPI 1942700869
Counselor in Santa Cruz, CA

Q: What is Jeffrey Bissell's NPI number?

The NPI number for Jeffrey Bissell is 1942700869. It was assigned to this individual provider in the NPPES registry on February 16, 2018.

Q: What is Jeffrey Bissell's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Bissell was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since February 16, 2018

380 ENCINAL ST STE 200, SANTA CRUZ, CA 95060(831) 469-1700(831) 425-1905 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Feb 16, 2018 (2 updates tracked since 2018).

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About Jeffrey Blake Bissell NPPES

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

JEFFREY BLAKE BISSELL (NPI 1942700869) is an individual counselor in Santa Cruz, California and active in the NPI registry since February 2018. He maintains a secondary practice location in Santa Cruz.

NPPES Registry Identity

NPI1942700869

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameJEFFREY BLAKE BISSELL

Location Address380 ENCINAL ST STE 200Santa Cruz, CA 95060-2178

Mailing Address380 Encinal St Ste 200Santa Cruz, CA 95060-2178 · (831) 469-1700 · Fax (831) 425-1905

Phone(831) 469-1700

Fax(831) 425-1905

Sole ProprietorNo

Enumeration DateFebruary 16, 2018

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1942700869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

380 ENCINAL ST STE 200, Santa Cruz, CA 95060

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Secondary Practice Location 1

Location 1716 Ocean StSanta Cruz, CA 95060-4032 · Phone (831) 423-2003

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.

TERESA MARIA MCINERNEY

Social Worker