Lisa Claire Jorgensen-Mattmann, AMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

AMFT136852 Issued in CA

Practice address

9040 Telstar Ave Ste 101
El Monte, CA 91731-2838

Phone

(626) 774-5809

NPI assigned

Feb 22, 2023

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

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.

• Star View Behavioral Health Inc.

  • Community/Behavioral Health Agency
  • El Monte, CA
  • NPI 1962884304
  NPD

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1194423632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9040 TELSTAR AVE STE 101",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312838",
            "telephone_number": "626-774-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040 TELSTAR AVE STE 101",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312838",
            "telephone_number": "626-774-5809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGENSEN-MATTMANN",
        "first_name": "LISA",
        "middle_name": "CLAIRE",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "CA",
            "license": "136852",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT136852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larissa Jones
• Tiffany Marie Jones, MFT ATR INTERN
• Jorge de la Osa DDS Incorporated
• Bernard Simon Jorge, MD
• Gabrielle L Jorge, RADT I
• Joseph Fu-Shou Yang DDS
• Joseph Zaghi D D S Inc
• Joshua Lee DDS Dental Care Inc
• Victoria T Juarez
• Julius C Kpaduwa Medical Corporation

• Marriage & Family Therapist in El Monte, CA
• Providers in El Monte, 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 Jun 30, 2023; 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.