Individual provider Active NPI

Jessica Amber Robinson, MFT

  • Marriage & Family Therapist
  • San Marcos, CA
National Provider Identifier
1154598597
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 51229 Issued in CA
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

Updated by the provider on Sep 3, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
IMF 60971CAMDMarriage & Family Therapist
MFC 51229CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.