Individual provider Active NPI

Jessica Lyn Oberreuter, LMFT

  • Marriage & Family Therapist
  • Santa Monica, CA
National Provider Identifier
1285107789
Registry record updated Jan 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT102675 Issued in CA
Practice address
1313 9TH St Apt 8
Santa Monica, CA 90401-1823
Phone
(323) 556-1951
NPI assigned
Jan 7, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2019

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 LMFT102675 CA Primary

Addresses

Primary practice location

1313 9TH St Apt 8
Santa Monica, CA 90401-1823

Mailing address

1313 9TH St Apt 8
Santa Monica, CA 90401-1823
Phone (323) 556-1951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 8, 2024 through Apr 8, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LMFT102675CAMDMarriage & Family Therapist
102675CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1285107789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 9TH ST APT 8",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011823",
            "telephone_number": "323-556-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 9TH ST APT 8",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011823",
            "telephone_number": "323-556-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERREUTER",
        "first_name": "JESSICA",
        "middle_name": "LYN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-07",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT102675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.