Jennifer Isom, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT-15959 Issued in AZ

Practice address

6761 E Tanque Verde Rd Ste 6
Tucson, AZ 85715-5323

Phone

(520) 247-3869

NPI assigned

Jun 7, 2023

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sequoia Springs Trauma Healing Center Inc

  • Clinical Social Worker
  • Tucson, AZ
  • NPI 1740753045

  Marriage & Family Therapist

  NPD (past)

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1346934718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7531 S FALSTER AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857479243",
            "telephone_number": "520-471-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6761 E TANQUE VERDE RD STE 6",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857155323",
            "telephone_number": "520-247-3869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISOM",
        "first_name": "JENNIFER",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-07",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AZ",
            "license": "LMFT-15959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon Ishii, M.D.
• Mariah Desiree Islas, NP
• Issa Ismail, DO
• Ismile CMS
• Ismile Tucson, LLC
• Promise A Iteinjoh, PMHNP-BC
• Ajit Itty, M.D.
• Gustavo Mauricio Iturralde Arriaga, FNP-C
• Charlotte Iurino, PHD
• Makenna Ivanoff, CRNA

• Marriage & Family Therapist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Marriage & Family Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.