Individual provider Active NPI

Jennifer Olivia Friend

  • Marriage & Family Therapist
  • Santa Ana, CA
National Provider Identifier
1043511223
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
98492 Issued in CA
Practice address
1207 E Fruit St
Santa Ana, CA 92701-4206
Phone
(714) 953-9373
NPI assigned
Nov 4, 2010
Last updated
Mar 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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 98492 CA Primary

Addresses

Primary practice location

1207 E Fruit St
Santa Ana, CA 92701-4206

Mailing address

1100 Cleghorn Dr Unit D
Diamond Bar, CA 91765-2313
Phone (909) 569-2263

Other practice location 1

1100 Cleghorn Dr Unit D
Diamond Bar, CA 91765
Phone (909) 569-2263

Other practice location 2

1100 Cleghorn Dr Unit D
Diamond Bar, CA 91765
Phone (909) 569-2263

Other practice location 3

1100 Cleghorn Dr Unit D
Diamond Bar, CA 91765
Phone (909) 569-2263

Other practice location 4

1370 Valley Vista Dr Ste 200
Diamond Bar, CA 91765-3921
Phone (949) 371-9249

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
98492CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1043511223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 CLEGHORN DR UNIT D",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917652313",
            "telephone_number": "909-569-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 E FRUIT ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014206",
            "telephone_number": "714-953-9373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Cleghorn Dr Unit D",
            "address_purpose": "LOCATION",
            "city": "Diamond Bar",
            "state": "CA",
            "postal_code": "91765",
            "country_code": "US",
            "telephone_number": "909-569-2263",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Cleghorn Dr Unit D",
            "address_purpose": "LOCATION",
            "city": "Diamond Bar",
            "state": "CA",
            "postal_code": "91765",
            "country_code": "US",
            "telephone_number": "909-569-2263",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Cleghorn Dr Unit D",
            "address_purpose": "LOCATION",
            "city": "Diamond Bar",
            "state": "CA",
            "postal_code": "91765",
            "country_code": "US",
            "telephone_number": "909-569-2263",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1370 Valley Vista Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Diamond Bar",
            "state": "CA",
            "postal_code": "917653921",
            "country_code": "US",
            "telephone_number": "949-371-9249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIEND",
        "first_name": "JENNIFER",
        "middle_name": "OLIVIA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-04",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "98492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.