Jennifer Marie Phelps, LMFT

Primary specialty

Art TherapistTaxonomy code 221700000X

License

ATRP21224 Issued in CA

Practice address

5755 Oberlin Dr Ste 108
San Diego, CA 92121-4715

Phone

(619) 729-2097

NPI assigned

Sep 24, 2024

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1235956970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9716 CAMINITO DOHA",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311625",
            "telephone_number": "619-729-2097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5755 OBERLIN DR STE 108",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214715",
            "telephone_number": "619-729-2097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9716 Caminito Doha",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921311625",
            "country_code": "US",
            "telephone_number": "619-729-2097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "138186",
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "CA",
            "license": "ATRP21224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Phelan
• Blanca Estela Phelps, ASW
• Christine Rose Phelps, LCSW
• James David Phelps, PSS
• Jenna Phelps, OTD
• Pamela Campbell Phelps, NP - NURSE PRACTITIO
• Busara Phersayaphai
• Elizabeth Anne Philbin, PT, DPT
• Sandy Paloma Philbin, MSW
• Megan Margaret Philbrick, AGACNP

• Art Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Art Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.