Individual provider Active NPI

Maryam Jamili, MA, LMFT

  • Marriage & Family Therapist
  • Laguna Hills, CA
National Provider Identifier
1235660515
Registry record updated Jun 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
113856 Issued in CA
Practice address
23276 S Pointe Dr Ste 105
Laguna Hills, CA 92653-1430
Phone
(949) 735-0500
NPI assigned
Mar 27, 2017
Last updated
Jun 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 113856 CA Primary

Addresses

Primary practice location

23276 S Pointe Dr Ste 105
Laguna Hills, CA 92653-1430

Mailing address

23276 S Pointe Dr Ste 105
Laguna Hills, CA 92653-1430
Phone (949) 735-0500

Other practice location 1

1913 E 17th St Ste 118
Santa Ana, CA 92705-8627
Phone (949) 735-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240131003704 CA Practitioner - Mental Health Counselor 7012360621
I20250627003228 CA Practitioner - Marriage and Family Therapist 7012360621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

23276 S Pointe Dr
Suite 105
Laguna Hills, CA 92653-1430
Phone (949) 735-0500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
113856CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Wellness, LLC Single Specialty PastSince Jan 11, 2024 Accepting new patients
Mana Psychological Services Corp Single Specialty PastSince May 15, 2023 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780704000000",
    "number": "1235660515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23276 S POINTE DR STE 105",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531430",
            "telephone_number": "949-735-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23276 S POINTE DR STE 105",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531430",
            "telephone_number": "949-735-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1913 E 17th St Ste 118",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927058627",
            "country_code": "US",
            "telephone_number": "949-735-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMILI",
        "first_name": "MARYAM",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-27",
        "last_updated": "2026-06-06",
        "certification_date": "2026-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "113856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.