Individual provider Active NPI

Jesika Sanchez White, LMFT, APCC

  • Marriage & Family Therapist
  • Valencia, CA
National Provider Identifier
1063181089
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
151105 Issued in CA
Practice address
25425 Orchard Village Rd Ste 270
Valencia, CA 91355-2958
Phone
(818) 359-2218
NPI assigned
Sep 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Marriage & Family Therapist 106H00000X 151105 CA Primary

Addresses

Primary practice location

25425 Orchard Village Rd Ste 270
Valencia, CA 91355-2958

Mailing address

25425 Orchard Village Rd Ste 270
Valencia, CA 91355-2958
Phone (818) 359-2218

Other practice location 1

45111 Fern Ave
Lancaster, CA 93534-2301
Phone (661) 949-1206

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jsanchez@childrenscenterav.org Direct

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
I20241206003013 CA Practitioner - Marriage and Family Therapist 2062948565 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Marriage & Family Therapist CurrentSince Nov 6, 2024 Accepting new patients
Women Elite Care Inc PastSince Nov 17, 2024 Accepting new patients

Locations

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

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": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1063181089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25425 ORCHARD VILLAGE RD STE 270",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913552958",
            "telephone_number": "818-359-2218",
            "fax_number": "661-414-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25425 ORCHARD VILLAGE RD STE 270",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913552958",
            "telephone_number": "818-359-2218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45111 Fern Ave",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935342301",
            "country_code": "US",
            "telephone_number": "661-949-1206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JESIKA",
        "middle_name": "SANCHEZ",
        "credential": "LMFT, APCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "151105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsanchez@childrenscenterav.org",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "45111 Fern Ave",
            "city": "Lancaster",
            "state": "CA",
            "country_code": "US",
            "postal_code": "935342301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

Verify at the official NPI Registry.