Individual provider Active NPI

Valerie C. Jennison, LMFT

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1114639010
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT151695 Issued in CA
Practice address
6020 Santo Rd Ste B
San Diego, CA 92124-1195
Phone
(858) 737-4674
NPI assigned
Dec 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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 LMFT151695 CA Primary

Addresses

Primary practice location

6020 Santo Rd Ste B
San Diego, CA 92124-1195

Mailing address

6020 Santo Rd Ste B
San Diego, CA 92124-1195
Phone (619) 838-3876

Other practice location 1

18029 Calle Ambiente Ste 519
Rancho Santa Fe, CA 92091-0316
Phone (619) 736-1998

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
LMFT151695CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brave Wellness Studio Marriage & Family Therapist PastSince Dec 5, 2021 Accepting new patients

Organizations & group practices 1

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": "1671667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1114639010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6020 SANTO RD STE B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921241195",
            "telephone_number": "619-838-3876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 SANTO RD STE B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921241195",
            "telephone_number": "858-737-4674"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18029 Calle Ambiente Ste 519",
            "address_purpose": "LOCATION",
            "city": "Rancho Santa Fe",
            "state": "CA",
            "postal_code": "920910316",
            "country_code": "US",
            "telephone_number": "619-736-1998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENNISON",
        "first_name": "VALERIE",
        "middle_name": "C.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-22",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT151695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.