Individual provider Active NPI

Caralie Jodlowski, LMFT

  • Marriage & Family Therapist
  • Temecula, CA
National Provider Identifier
1154788693
Registry record updated Dec 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
108027 Issued in CA
Practice address
44510 Cayenne TRL
Temecula, CA 92592-1114
Phone
(760) 277-0803
NPI assigned
Jan 27, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Marriage & Family Therapist 106H00000X 108027 CA Primary

Addresses

Primary practice location

44510 Cayenne TRL
Temecula, CA 92592-1114

Mailing address

44510 Cayenne TRL
Temecula, CA 92592-1114
Phone (760) 277-0803

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://caraliejodlowski.clientsecure.me/

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

NPI Registry JSON

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671235200000",
    "number": "1154788693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44510 CAYENNE TRL",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925921114",
            "telephone_number": "760-277-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44510 CAYENNE TRL",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925921114",
            "telephone_number": "760-277-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JODLOWSKI",
        "first_name": "CARALIE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-27",
        "last_updated": "2022-12-17",
        "certification_date": "2022-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "108027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://caraliejodlowski.clientsecure.me/",
            "affiliation": "N",
            "endpointDescription": "EHR client portal",
            "address_1": "31165 Temecula Pkwy Suite G3 Unit #2033",
            "city": "Temecula",
            "state": "CA",
            "country_code": "US",
            "postal_code": "92592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2022; 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.