Jacqueline Weitz, MFCC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT19233 Issued in CA

Practice address

10122 Empyrean Way Apt 103
Los Angeles, CA 90067-3804

Phone

(310) 666-2995

Fax

(310) 666-2995

NPI assigned

Mar 13, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1710288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1104684133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10122 EMPYREAN WAY APT 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900673804",
            "telephone_number": "310-552-2336",
            "fax_number": "310-666-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10122 EMPYREAN WAY APT 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900673804",
            "telephone_number": "310-666-2995",
            "fax_number": "310-666-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEITZ",
        "first_name": "JACQUELINE",
        "credential": "MFCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-13",
        "last_updated": "2024-03-13",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFCC19233",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT19233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avian Weiswerda
• Jeffrey A. Weisz, MD
• Yael Erwin Weisz
• Christopher Wells Weitekamp, CRNA
• Ilene Weitz, M.D.
• Benjamin Harlan Weitzel
• Rachel Weitzenkorn
• Casey Weitzman, M.A.
• Marnie Rose Weitzman
• Stephanie Wejbe, MSW

• Marriage & Family Therapist in Los Angeles, CA
• Providers in Los Angeles, 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 Mar 13, 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.