Jeremy Mast, Licensed Marriage and Family Therapist, Inc.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

JEREMY MAST, LICENSED MARRIAGE AND FAMILY THERAPIST, INC.

Practice address

3585 Maple St Ste 233
Ventura, CA 93003-9148

Phone

(805) 256-3497

NPI assigned

Sep 16, 2020

Organization subpart

No

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

Authorized official

Name

Jeremy MastNPI 1861847139

Title

President

Phone

(805) 256-3497

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeremy Mast

  • Marriage & Family Therapist
  • Ventura, CA
  • NPI 1861847139
  NPD Authorized official

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1215543160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3585 MAPLE ST STE 233",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930039148",
            "telephone_number": "805-256-3497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3585 MAPLE ST STE 233",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930039148",
            "telephone_number": "805-256-3497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMY MAST, LICENSED MARRIAGE AND FAMILY THERAPIST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "MAST",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-256-3497"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeremy@jeremymast.com",
            "affiliation": "N",
            "address_1": "3585 Maple St Ste 233",
            "city": "Ventura",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930039148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lia Christine Jennings
• Cindy Chere'E Jensen, MSW
• Heather Danielle Jensen
• Jeppesen Dental Corporation
• John C Jeppesen, DMD
• Jewish Federation of Ventura County
• Ryan Sunghun Ji, PHARMD
• Jilbert and Puri Dental Corporation
• Sofia Victoria Jimenez-Jiron
• Adam-John Jimenez

• Adult Mental Health Clinic/Center in Ventura, CA
• Providers in Ventura, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.