CLAIRE AJINA, LEP #3791 — NPI 1730705526 (Licensed & Credentialed Behavioral Health & Social Service Providers

CMS-1500 Box 24J / 33a • NPI

1730705526

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

103TS0200X (CMS 62)

Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, School

Box 32 Service Location & ZIP+4

3009 HUBBARD LN STE F, EUREKA, CA, 95501-4801

✓ 9-Digit EDI 837 ZIP+4 (95501-4801)

Practice Phone & Referral Fax

(707) 499-5969

Fax: (833) 248-9195

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1730705526 (CLAIRE AJINA, LEP #3791) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1730705526` (NPI-1 Individual Practitioner)
Provider / Legal Name	CLAIRE AJINA, LEP #3791
Plain-English Specialty	Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, School NUCC Code: `103TS0200X` (Psychologist, School)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	3009 HUBBARD LN STE F, EUREKA, CA, 95501-4801
Practice Telephone / Fax	Tel: (707) 499-5969 \| Fax: (833) 248-9195
Administrative Mailing Address	PO BOX 3009, MCKINLEYVILLE, CA, 95519-3009
Enumeration & Last Sync	Enumerated: 2020-06-18 \| CMS Record Updated: 2020-06-18

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

3009 HUBBARD LN STE F, EUREKA, CA, 95501-4801

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Plain-English Taxonomy & CMS Crosswalk (103TS0200X)

What Does Taxonomy Code 103TS0200X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103TS0200X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, School"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 62 (Psychologist, Clinical)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Psychologist, School for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CLAIRE AJINA, LEP #3791)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`103TS0200X` — Psychologist, School Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, School	State: CA \| License: `3791` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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CLAIRE AJINA, LEP #3791 (NPI #1730705526)