Active NPI
Aaron Renee Gillen, DMFT, AMFT, CMT
- Marriage & Family Therapist
- Encinitas, CA
National Provider Identifier
1255576534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- AMFT144579
- Practice address
- 721 N Vulcan Ave Ste 211&213
Encinitas, CA 92024-2190 - Phone
- (760) 638-2595
- NPI assigned
- Dec 15, 2008
- Reactivated
- Sep 16, 2024
- Last updated
- Sep 16, 2024
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prevention Professional | 405300000X | AMFT144579 | CA | |
| Marriage & Family Therapist | 106H00000X | AMFT144579 | CA | Primary |
| Nutrition Education Nutritionist | 133NN1002X | AMFT144579 | CA | |
| Mechanotherapist | 172M00000X | MA60055729 | WA | |
| Massage Therapist | 225700000X | CMT91063 | CA |
Addresses
Primary practice location
721 N Vulcan Ave Ste 211&213
Encinitas, CA 92024-2190
Mailing address
23809 Scarlet Oak Dr
Murrieta, CA 92562
Phone (760) 638-2595
Other names 1
- Miss Aaron Renee Hager
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 |
|---|---|---|---|
| MA60055729 | WA | MD | Mechanotherapist |
| CMT91063 | CA | MD | Massage Therapist |
| AMFT144579 | CA | MD | Prevention Professional |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726444800000",
"number": "1255576534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23809 SCARLET OAK DR",
"city": "MURRIETA",
"state": "CA",
"postal_code": "92562",
"telephone_number": "760-638-2595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 N VULCAN AVE STE 211&213",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920242190",
"telephone_number": "760-638-2595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLEN",
"first_name": "AARON",
"middle_name": "RENEE",
"name_prefix": "Dr.",
"credential": "DMFT, AMFT, CMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-15",
"last_updated": "2024-09-16",
"certification_date": "2024-09-16",
"deactivation_date": "2022-05-17",
"reactivation_date": "2024-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "CA",
"license": "AMFT144579",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "AMFT144579",
"primary": true
},
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "CA",
"license": "AMFT144579",
"primary": false
},
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "WA",
"license": "MA60055729",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "CMT91063",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AARON",
"last_name": "HAGER",
"middle_name": "RENEE",
"prefix": "MISS",
"credential": "HHP/MASSAGE THERAPI",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Encinitas, CA
- Shannon Kathleen Gilbride, MS
- Heidi Marie Gilchrist, M.D.
- Franklyn Dennis Gile III, D.D.S.
- Richard James Gill, D.D.S.
- James K Gillan, PA C
- Gilles Medical Corporation (Gilles Foot and Ankle)
- Gilles Medical Corporation (Gilles Foot and Ankle)
- Louis D Gilles, DPM
- Taiye A Gilles, M.D.
- Emma Kathleen Gillespie
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.