Active NPI
Jessica Amber Robinson, MFT
- Marriage & Family Therapist
- San Marcos, CA
National Provider Identifier
1154598597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 51229
- Practice address
- 100 E San Marcos Blvd Ste 400
San Marcos, CA 92069-2988 - Phone
- (760) 271-3170
- Fax
- (866) 561-3747
- NPI assigned
- May 14, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC 51229 | CA | Primary |
| Mental Health Counselor | 101YM0800X | |||
| Marriage & Family Therapist | 106H00000X | IMF 60971 | CA |
Addresses
Primary practice location
100 E San Marcos Blvd Ste 400
San Marcos, CA 92069-2988
Mailing address
100 E San Marcos Blvd
Suite 400
San Marcos, CA 92069-2986
Phone (760) 271-3170
Other practice location 1
337 W Mission Ave
Escondido, CA 92025-1729
Phone (760) 745-0281
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
| License | State | Type | Specialty |
|---|---|---|---|
| IMF 60971 | CA | MD | Marriage & Family Therapist |
| MFC 51229 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connected Family Counseling, PC | Marriage & Family Therapist | Current | Accepting new patients |
| Community Research Foundation Inc | Past | Accepting new patients |
Locations
100 E San Marcos Blvd
Ste 400
San Marcos, CA 92069
Phone (760) 415-0085
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.
-
- Marriage & Family Therapist
- San Marcos, CA
- NPI 1669020509
-
dba Step Forward North Inland
- Community/Behavioral Health Agency
- Escondido, CA
- NPI 1659895340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567468800000",
"number": "1154598597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E SAN MARCOS BLVD",
"address_2": "SUITE 400",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920692986",
"telephone_number": "760-271-3170",
"fax_number": "760-510-5901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E SAN MARCOS BLVD STE 400",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920692988",
"telephone_number": "760-271-3170",
"fax_number": "866-561-3747"
}
],
"practiceLocations": [
{
"address_1": "337 W Mission Ave",
"address_purpose": "LOCATION",
"city": "Escondido",
"state": "CA",
"postal_code": "920251729",
"country_code": "US",
"telephone_number": "760-745-0281",
"fax_number": "760-745-0778",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBINSON",
"first_name": "JESSICA",
"middle_name": "AMBER",
"name_prefix": "Mrs.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-14",
"last_updated": "2019-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 51229",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF 60971",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Marcos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.