Jessica Shannon Spargur, M. A.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

117409 Issued in CA

Practice address

5 Mareblu
Aliso Viejo, CA 92656-3014

Phone

(949) 643-6901

NPI assigned

Sep 26, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1336658913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4401",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926054401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MAREBLU",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563014",
            "telephone_number": "949-643-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARGUR",
        "first_name": "JESSICA",
        "middle_name": "SHANNON",
        "credential": "M. A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-26",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "117409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "U6686052801",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Coast Medical Group
• South Coast Medical Group
• South Coast Medical Group Family and Sports Medicine
• South County Healthcare
• Southwest Healthcare Management
• Jeanne Spence
• Nicole E Starkey, DDS
• Statmobile, Inc.
• Stefanie Zargarbashi Licensed Clinical Social Worker Services Corp.
• David C. Stege, D.P.M.

• Marriage & Family Therapist in Aliso Viejo, CA
• Providers in Aliso Viejo, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; 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.