Individual provider Active NPI

Matthew Jaurequi, LMFT

  • Marriage & Family Therapist
  • Long Beach, CA
National Provider Identifier
1336732114
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT131002 Issued in CA
Practice address
3816 Petaluma Ave
Long Beach, CA 90808-2447
Phone
(850) 391-8070
NPI assigned
Feb 12, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT.0002002 CO
Marriage & Family Therapist 106H00000X MT3805 FL
Marriage & Family Therapist 106H00000X LMFT131002 CA Primary

Addresses

Primary practice location

3816 Petaluma Ave
Long Beach, CA 90808-2447

Mailing address

3816 Petaluma Ave
Long Beach, CA 90808-2447
Phone (951) 970-3185

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
LMFT131002CAMDMarriage & Family Therapist
MFT.0002002COMDMarriage & Family Therapist
MT3805FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Flourish Individual Couple and Family Therapy Marriage & Family Therapist PastSince Feb 14, 2021 Accepting new patients

Organizations & group practices 1

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": "1613088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1336732114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3816 PETALUMA AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908082447",
            "telephone_number": "951-970-3185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3816 PETALUMA AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908082447",
            "telephone_number": "850-391-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAUREQUI",
        "first_name": "MATTHEW",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-12",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "MFT.0002002",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT3805",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT131002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; 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.