Individual provider Active NPI

Jennifer Aidee Limon-Arredondo, AMFT

  • Marriage & Family Therapist
  • Indio, CA
National Provider Identifier
1104329002
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
150696 Issued in CA
Practice address
44199 Monroe St
Indio, CA 92201-3096
Phone
(760) 863-8328
NPI assigned
Mar 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 129416 CA
Marriage & Family Therapist 106H00000X 150696 CA Primary

Addresses

Primary practice location

44199 Monroe St
Indio, CA 92201-3096

Mailing address

47825 Oasis St
Indio, CA 92201-6950
Phone (760) 863-8441

Other practice location 1

2001 E 4th St
Santa Ana, CA 92705
Phone (714) 824-8140

Other practice location 2

1200 N Main St Ste 650
Santa Ana, CA 92701-3613
Phone (714) 824-8140 ext. 115

Other practice location 3

47825 Oasis St
Indio, CA 92201-6950
Phone (760) 863-8441 ext. 38526

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
150696CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
College Community Services Past Accepting new patients
Patricia Ayala-Guzman Mental Health Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1104329002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47825 OASIS ST",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922016950",
            "telephone_number": "760-863-8441",
            "fax_number": "760-863-8587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44199 MONROE ST",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922013096",
            "telephone_number": "760-863-8328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 E 4th St",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "92705",
            "country_code": "US",
            "telephone_number": "714-824-8140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 N Main St Ste 650",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927013613",
            "country_code": "US",
            "telephone_number": "714-824-8140 x115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "47825 Oasis St",
            "address_purpose": "LOCATION",
            "city": "Indio",
            "state": "CA",
            "postal_code": "922016950",
            "country_code": "US",
            "telephone_number": "760-863-8441 x38526",
            "fax_number": "760-863-8587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIMON-ARREDONDO",
        "first_name": "JENNIFER",
        "middle_name": "AIDEE",
        "name_prefix": "Ms.",
        "credential": "AMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-16",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "129416",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "150696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indio, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.