Jaqueline Contreras

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

136352 Issued in CA

Practice address

125 W Thousand Oaks Blvd Ste 600
Thousand Oaks, CA 91360-4463

Phone

(805) 777-3505

Fax

(805) 777-3574

NPI assigned

Jun 9, 2022

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

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

Specialty

Marriage and Family Therapist

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846

  Marriage & Family Therapist

  Medicare reassignment NPD
• County of Ventura

  • Community/Behavioral Health Agency
  • Thousand Oaks, CA
  • NPI 1902027972
  NPD
• Child & Family Guidance Center

  • Community/Behavioral Health Agency
  • Ventura, CA
  • NPI 1083809347
  NPD (past)
• County of Ventura

  • Community/Behavioral Health Agency
  • Simi Valley, CA
  • NPI 1609098243
  NPD (past)

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1336878719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2389 ROSE LN",
            "city": "SANTA ROSA VALLEY",
            "state": "CA",
            "postal_code": "930129023",
            "telephone_number": "805-832-0785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W THOUSAND OAKS BLVD STE 600",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604463",
            "telephone_number": "805-777-3505",
            "fax_number": "805-777-3574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTRERAS",
        "first_name": "JAQUELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "136352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Conejo Valley Unified School District
• Conejo Valley Women'S Resource Center
• Conejo Women'S Health, Inc.
• Conejomedtrans,Inc
• Connection Point Freight Carriers LLC
• Lauren Cook, R.N.
• Courtney Coonis
• Cooper Elite Chiropractic PC
• Danielle M. Cooper, PT, DPT, OCS
• Devin Scott Cooper, NCC

• Marriage & Family Therapist in Thousand Oaks, CA
• Providers in Thousand Oaks, 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 Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.