Individual provider Active NPI

Mareeh Claire Marquez, LMFT

  • Marriage & Family Therapist
  • La Mesa, CA
National Provider Identifier
1316188709
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
53516 Issued in CA
Practice address
8080 La Mesa Blvd Ste 205
La Mesa, CA 91942-0362
Phone
(619) 324-3228
Fax
(619) 923-6333
NPI assigned
Mar 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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 53516 CA Primary

Addresses

Primary practice location

8080 La Mesa Blvd Ste 205
La Mesa, CA 91942-0362

Mailing address

PO Box 3171
La Mesa, CA 91944-3171
Phone (619) 324-3228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260619001647 CA Practitioner - Marriage and Family Therapist 8729551817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

402 W Broadway
Suite 400
San Diego, CA 92101-3554

734 Osage St
Spring Valley, CA 91977-5516

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53516CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hope and Healing Child and Family Therapy, Inc. Marriage & Family Therapist PastSince Sep 23, 2024 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1316188709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3171",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919443171",
            "telephone_number": "619-324-3228",
            "fax_number": "619-923-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 LA MESA BLVD STE 205",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919420362",
            "telephone_number": "619-324-3228",
            "fax_number": "619-923-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUEZ",
        "first_name": "MAREEH",
        "middle_name": "CLAIRE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-13",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "53516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.