Journey of Life Counseling and Assessment Services
NPI 1962824052ActiveOrganization· Psychologist, Clinical· San Leandro, CA
Psychologist, Clinical in San Leandro, California, registered in NPPES in January 2014. The authorized official on file is Jaseon Outlaw, PH.D., Clinical Director/Owner.
Overview
| NPI | 1962824052 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 9, 2014 |
| Last updated in NPPES | Jan 9, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PSY23676 | CA |
| Marriage & Family Therapist | 106H00000X | 53851 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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