Koryn Susie Jara · Addiction (Substance Use Disorder) Counselor

1180 Third Ave Ste C4, Chula Vista, CA 91911-3139

Overview

Koryn Susie Jara is a Addiction (Substance Use Disorder) Counselor practicing in Chula Vista, California. The National Provider Identifier (NPI) is #1144163510, which was assigned on April 10, 2026, and the registration record was last updated on April 10, 2026. The practitioner's main practice location is at 1180 Third Ave Ste C4, Chula Vista, CA 91911-3139; the contact telephone number is 6196918164, and the fax number is 6194262359. The primary taxonomy of Koryn Susie Jara is Addiction (Substance Use Disorder) Counselor (101YA0400X), with specialization in Addiction (Substance Use Disorder).

Provider Information

NPI 1144163510
Entity Type Individual
Provider Name MRS. KORYN SUSIE JARA
Gender Female
Practice Address 1180 Third Ave Ste C4
Chula Vista
CA 91911-3139
Practice Telephone 6196918164
Practice Fax Number 6194262359
Mailing Address 1400 N Johnson Ave Ste 101
El Cajon
CA 92020-1651
Certification Date 2026-04-10
Enumeration Date 2026-04-10
Last Update Date 2026-04-10
Is Sole Proprietor Y

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y101YA0400XCounselorAddiction (Substance Use Disorder)193200000X MULTI-SPECIALTY GROUP

Taxonomy Information

Primary Taxonomy

Code 101YA0400X
Taxonomy Addiction (Substance Use Disorder) Counselor
Classification Counselor
Specialization Addiction (Substance Use Disorder)
Grouping Behavioral Health & Social Service Providers
Definition: Definition to come...

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Jasmine Taylor 1044 W Bristol Rd, Flint, MI 48507-5516Addiction (Substance Use Disorder) Counselor2026-04-10
Jacquice Gillum 3450 Highway 80 W, Jackson, MS 39209-7201Addiction (Substance Use Disorder) Counselor2026-04-10
Aubrey Steverson 1485 Market St, Springfield, OR 97477-3337Addiction (Substance Use Disorder) Counselor2026-04-10
Ashleigh Nicole Ryan 1301 National Hwy, Thomasville, NC 27360-2317Addiction (Substance Use Disorder) Counselor2026-04-10
Linda Cosio 380 Encinal St Ste 200, Santa Cruz, CA 95060-2178Addiction (Substance Use Disorder) Counselor2026-04-11
Elevare In Illinois, PLLC 111 N Wabash Ave Ste 100, Chicago, IL 60602-1903Addiction (Substance Use Disorder) Counselor2026-04-10
Jessica Lynette Conklin 901 N Monroe St Ste 200, Spokane, WA 99201-2148Addiction (Substance Use Disorder) Counselor2026-04-10
Eunice's Bridge To Better Living, LLC 1051 N Milton Ave, Baltimore, MD 21205-1318Addiction (Substance Use Disorder) Counselor2026-04-10
Elevare In Michigan, PLLC 2183 Anita Ave, Grosse Pointe Woods, MI 48236-1429Addiction (Substance Use Disorder) Counselor2026-04-10
Jacob Alexander Taucher Karpinski 1391 Washington Blvd, Pittsburgh, PA 15206-1801Addiction (Substance Use Disorder) Counselor2026-04-10
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Location Information

Street Address 1180 THIRD AVE STE C4
City CHULA VISTA
State CA
Zip Code 91911-3139
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Raymond Castillo 1180 Third Ave, Chula Vista, CA 91911-3139Addiction (Substance Use Disorder) Counselor2025-08-04
Ernesto Esteban Rico 1180 Third Ave Ste C3, Chula Vista, CA 91911-3139Personal Emergency Response Attendant2026-03-25
Nereyda Cabrera 1180 Third Ave Ste C3, Chula Vista, CA 91911-3139Addiction (Substance Use Disorder) Counselor2024-09-12
Rossy Dalay Cardona 1180 3rd Ave Ste C4, Chula Vista, CA 91911-3139Addiction (Substance Use Disorder) Counselor2025-09-25
Marco Rodrigo De La Torre 1180 3rd Ave Ste C3, Chula Vista, CA 91911-3139Addiction (Substance Use Disorder) Counselor2025-02-20
Andres Reynoso Jimenez 1180 3rd Ave Ste C3, Chula Vista, CA 91911-3139Addiction (Substance Use Disorder) Counselor2025-12-29

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Michal Lindsey Cardarelli · Michal Lindsey Koyl 855 Third Avenue, Suite 2200, Chula Vista, CA 91911Family Nurse Practitioner2011-01-04
Sofia Varela 865 3rd Ave Ste 129, Chula Vista, CA 91911-1300Behavior Technician2026-01-05
Andrea Coronado Ponce 865 3rd Ave Ste 129, Chula Vista, CA 91911-1300Behavior Technician2026-01-05
Ruben Sanchez 670 L St Ste A, Chula Vista, CA 91911-1065School Psychologist2025-10-08
Eduardo Canett 670 L St Ste A, Chula Vista, CA 91911-1065School Psychologist2025-10-08
Victor Vizcarra 630 L St, Chula Vista, CA 91911-1066Family Nurse Practitioner2026-04-09
Americas Best Medical Transport 491 Nickman St., Chula Vista, CA 91911-1000Non-emergency Medical Transport (VAN)2026-01-26
Stuart Leslie Laiken 754 Medical Center Court, #100, Chula Vista, CA 91911Internal Medicine Physician2006-08-20
Marcela M Valderrama 815 Third Avenue, Suite 215, Chula Vista, CA 91911Mental Health Counselor2006-07-11
Owen Mel Casem Bruan 111 Broadway, Suite 303, Chula Vista, CA 91911Physical Therapist2006-09-06
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.