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JERRICKSON DANIEL AJEX PALVANNAN
NPI 1942703715
Counselor - Professional in Bakersfield, CA

Active since March 17, 2018PECOS Enrolled
425 S H ST, BAKERSFIELD, CA 93304(661) 364-6419 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 15, 2025, Aug 4, 2025, Jun 22, 2025 and 3 more (6 updates tracked since 2018).

About Jerrickson Daniel Ajex Palvannan NPPES

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

JERRICKSON DANIEL AJEX PALVANNAN (NPI 1942703715) is an individual professional provider in Bakersfield, California, licensed in California (LPCC19831) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1942703715
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJERRICKSON DANIEL AJEX PALVANNAN
Location Address425 S H STBakersfield, CA 93304-3930
Mailing AddressPo Box 3483Bakersfield, CA 93385-3483 · (661) 364-6419
Phone(661) 364-6419
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 17, 2018
Last NPPES UpdateAugust 15, 20256 updates tracked since enumeration
NPPES CertifiedAugust 15, 2025
✔ NPI 1942703715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CA · LPCC19831
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License AMFT127180 (CA)
425 S H ST, Bakersfield, CA 93304
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerrickson Daniel Ajex Palvannan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325547953
PECOS Enrollment IDI20250819004576
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.

Other Providers at the Same Location NPPES

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

HOUSE OF REFUGE COUNSELING AND WELLNESS CENTER
Marriage & Family Therapist
425 S H ST
BAKERSFIELD, CA 93304
Kern County (661) 364-6419

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 Jerrickson Ajex Palvannan's NPI number?

The NPI number for Jerrickson Ajex Palvannan is 1942703715. It was assigned to this individual provider in the NPPES registry on March 17, 2018.

Where is Jerrickson Ajex Palvannan located?

Jerrickson Ajex Palvannan practices at 425 S H St, Bakersfield, CA 93304. The listed phone number is (661) 364-6419.

What is Jerrickson Ajex Palvannan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jerrickson Ajex Palvannan enrolled in Medicare?

Yes. Jerrickson Ajex Palvannan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jerrickson Ajex Palvannan was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.