Active NPI
Jennifer Rebecca Calderon, LMFT, LPCC
- Marriage & Family Therapist
- Agoura Hills, CA
National Provider Identifier
1235318668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 45687
- Practice address
- 28310 Roadside Dr Ste 202D
Agoura Hills, CA 91301-4958 - Phone
- (818) 720-4494
- NPI assigned
- Nov 1, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 796 | CA | |
| Marriage & Family Therapist | 106H00000X | 45687 | CA | Primary |
Addresses
Primary practice location
28310 Roadside Dr Ste 202D
Agoura Hills, CA 91301-4958
Mailing address
28310 Roadside Dr Ste 202D
Agoura Hills, CA 91301-4958
Phone (818) 720-4494
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 |
|---|---|---|---|
| 45687 | CA | MD | Marriage & Family Therapist |
| 796 | CA | MD | Physical Rehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735776000000",
"number": "1235318668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28310 ROADSIDE DR STE 202D",
"city": "AGOURA HILLS",
"state": "CA",
"postal_code": "913014958",
"telephone_number": "818-720-4494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28310 ROADSIDE DR STE 202D",
"city": "AGOURA HILLS",
"state": "CA",
"postal_code": "913014958",
"telephone_number": "818-720-4494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDERON",
"first_name": "JENNIFER",
"middle_name": "REBECCA",
"name_prefix": "Ms.",
"credential": "LMFT, LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-01",
"last_updated": "2025-01-02",
"certification_date": "2025-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "796",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "45687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Agoura Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.