Jill Marie McGovern, M.A.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

152015 Issued in CA

Practice address

26000 Avenida Aeropuerto SPC 132
San Juan Capistrano, CA 92675-4747

Phone

(949) 510-9494

NPI assigned

Jan 22, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 8, 2025 through Jul 8, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1737504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1053123554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7044",
            "city": "CAPISTRANO BEACH",
            "state": "CA",
            "postal_code": "926247044",
            "telephone_number": "949-510-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26000 AVENIDA AEROPUERTO SPC 132",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926754747",
            "telephone_number": "949-510-9494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 7044",
            "address_purpose": "LOCATION",
            "city": "Capistrano Beach",
            "state": "CA",
            "postal_code": "926247044",
            "country_code": "US",
            "telephone_number": "949-510-9494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGOVERN",
        "first_name": "JILL",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "152015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mazolewski Oc Medical PC
• Don Ray McCanne, M.D.
• Breanna Nicole McDavid, DPT
• Jeanne Marie McEntire, NP
• John Strother McGlinn IV
• Alyssa McIntyre, SLP
• Pretty McLendon, NP
• Dalimari Yanin McMartin
• Catherine Mary McMillan
• Me Pivot Holdings LLC

• Marriage & Family Therapist in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.