Individual provider Active NPI

Curtis Jesse Jefferson Jr., LMFT

  • Marriage & Family Therapist
  • Menifee, CA
National Provider Identifier
1013414416
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
140017 Issued in CA
Practice address
30951 Hanover LN Apt 3301
Menifee, CA 92584-6638
Phone
(706) 992-2480
NPI assigned
Apr 11, 2018
Reactivated
Jul 6, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X CA
Marriage & Family Therapist 106H00000X 140017 CA Primary

Addresses

Primary practice location

30951 Hanover LN Apt 3301
Menifee, CA 92584-6638

Mailing address

21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807
Phone (818) 345-2345

Other practice location 1

27720 Jefferson Ave Ste 150
Temecula, CA 92590-2630
Phone (951) 326-2051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250120000434 CA Practitioner - Marriage and Family Therapist 9133658206 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Live Well Family Counseling Services Marriage & Family Therapist CurrentSince Dec 1, 2024 Accepting new patients

Locations

275 W Hospitality Ln
Ste 309
San Bernardino, CA 92408
Phone (951) 257-8045

41593 Winchester Rd
Ste 215
Temecula, CA 92590
Phone (951) 257-8045

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1013414416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21600 OXNARD ST STE 1800",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913677807",
            "telephone_number": "818-345-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30951 HANOVER LN APT 3301",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925846638",
            "telephone_number": "706-992-2480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27720 Jefferson Ave Ste 150",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925902630",
            "country_code": "US",
            "telephone_number": "951-326-2051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "CURTIS",
        "middle_name": "JESSE",
        "name_suffix": "Jr.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-11",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "deactivation_date": "2023-06-16",
        "reactivation_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "140017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menifee, CA

Sources for this page

Verify at the official NPI Registry.