Individual provider Active NPI

Elizabeth Jarquin

  • Marriage & Family Therapist
  • Coral Gables, FL
National Provider Identifier
1346714045
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT3577 Issued in FL
Practice address
4601 Ponce de Leon Blvd Ste 260
Coral Gables, FL 33146-2110
Phone
(305) 846-9370
NPI assigned
Jan 15, 2019
Reactivated
Dec 23, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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 MT3577 FL Primary

Addresses

Primary practice location

4601 Ponce de Leon Blvd Ste 260
Coral Gables, FL 33146-2110

Mailing address

1620 Cardinal LN
Englewood, FL 34224-5050
Phone (305) 814-2684

Other practice location 1

6745 Philips Industrial Blvd
Jacksonville, FL 32256-3033
Phone (904) 421-8599

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
MT3577FLMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1346714045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 CARDINAL LN",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342245050",
            "telephone_number": "305-814-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 PONCE DE LEON BLVD STE 260",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462110",
            "telephone_number": "305-846-9370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6745 Philips Industrial Blvd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322563033",
            "country_code": "US",
            "telephone_number": "904-421-8599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JARQUIN",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-15",
        "last_updated": "2025-12-23",
        "certification_date": "2023-11-16",
        "deactivation_date": "2023-11-16",
        "reactivation_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT3577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; 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.