Individual provider Active NPI

Jennifer Amanda Flowers, PSY. D., MFT

  • Marriage & Family Therapist
  • Newport Beach, CA
National Provider Identifier
1013223536
Registry record updated Aug 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
44174 Issued in CA
Practice address
1000 Quail St Ste 275
Newport Beach, CA 92660-2743
Phone
(949) 863-9031
Fax
(949) 863-3132
NPI assigned
Aug 21, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 44174 CA Primary

Addresses

Primary practice location

1000 Quail St Ste 275
Newport Beach, CA 92660-2743

Mailing address

1000 Quail St Ste 275
Newport Beach, CA 92660-2743
Phone (949) 863-9031

Other names 1

  • Dr. Jenna Amanda Flowers Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44174CAMDMarriage & Family Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282348800000",
    "number": "1013223536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 QUAIL ST STE 275",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602743",
            "telephone_number": "949-863-9031",
            "fax_number": "949-863-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 QUAIL ST STE 275",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602743",
            "telephone_number": "949-863-9031",
            "fax_number": "949-863-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOWERS",
        "first_name": "JENNIFER",
        "middle_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "PSY. D., MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-21",
        "last_updated": "2010-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "44174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "FLOWERS",
            "middle_name": "AMANDA",
            "prefix": "DR.",
            "credential": "PSY.D, MFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.