Individual provider Active NPI

Jennifer B Chappell Marsh, LMFT

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1295975589
Registry record updated Nov 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
53559 Issued in CA
Practice address
3333 Camino del Rio S
#215
San Diego, CA 92108-3808
Phone
(858) 876-4104
NPI assigned
Feb 25, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2013

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 53559 CA Primary

Addresses

Primary practice location

3333 Camino del Rio S
#215
San Diego, CA 92108-3808

Mailing address

1522 Meade Ave
#A
San Diego, CA 92116-3928
Phone (858) 736-7386

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
53559CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384905600000",
    "number": "1295975589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 MEADE AVE",
            "address_2": "#A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921163928",
            "telephone_number": "858-736-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 CAMINO DEL RIO S",
            "address_2": "#215",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083808",
            "telephone_number": "858-876-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPPELL MARSH",
        "first_name": "JENNIFER",
        "middle_name": "B",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-25",
        "last_updated": "2013-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "53559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; 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.