Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jerod Nielsen

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1770206989

Jerod Nielsen is an Addiction (Substance Use Disorder) Counselor in Long Beach, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022

Practice location Address checks out

5190 Atlantic Ave
Long Beach, CA 90805-6510
Phone: (818) 996-1051
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 15334-RAC (CA)

Record details

NPI number1770206989
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 22, 2022
Last updated in NPPESSeptember 22, 2022
Certification dateSeptember 19, 2022

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