Healthcare Provider Details

I. General information

NPI: 1811812563
Provider Name (Legal Business Name): SENSE OF SELF PROFESSIONAL CLINICAL COUNSELORS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2665 30TH ST STE 110
SANTA MONICA CA
90405-3025
US

IV. Provider business mailing address

1602 W 108TH ST
LOS ANGELES CA
90047-4411
US

V. Phone/Fax

Practice location:
  • Phone: 213-347-4502
  • Fax:
Mailing address:
  • Phone: 910-459-3598
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: JAMIE N JOHNSON
Title or Position: FOUNDER/THERAPIST
Credential: PSYD, LPCC NCC CCMHC
Phone: 213-347-4502