Individual provider Active NPI

Jackeline Artiga

  • Marriage & Family Therapist
  • Fullerton, CA
National Provider Identifier
1255533832
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT109833 Issued in CA
Practice address
1545 S Harbor Blvd # 109
Fullerton, CA 92832-3402
Phone
(323) 403-1239
NPI assigned
Jun 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X AMFT109833 CA Primary
Marriage & Family Therapist 106H00000X 150902 CA
Counselor 101Y00000X

Addresses

Primary practice location

1545 S Harbor Blvd # 109
Fullerton, CA 92832-3402

Mailing address

1545 S Harbor Blvd # 109
Fullerton, CA 92832-3402
Phone (323) 403-1239

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

LicenseStateTypeSpecialty
150902CAMDMarriage & Family Therapist
AMFT109833CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1255533832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 S HARBOR BLVD # 109",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928323402",
            "telephone_number": "323-403-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 S HARBOR BLVD # 109",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928323402",
            "telephone_number": "323-403-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARTIGA",
        "first_name": "JACKELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT109833",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "150902",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.

Verify at the official NPI Registry.