Individual provider Active NPI

Jennifer Elizabeth Gleizer, LMFT106078

  • Marriage & Family Therapist
  • Westminster, CA
National Provider Identifier
1356618631
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
106078 Issued in CA
Practice address
16341 Venus Dr
Westminster, CA 92683-7733
Phone
(310) 612-7027
NPI assigned
Nov 30, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 66428 CA
Marriage & Family Therapist 106H00000X 106078 CA Primary

Addresses

Primary practice location

16341 Venus Dr
Westminster, CA 92683-7733

Mailing address

834 Turtle Crest Dr
Irvine, CA 92603-1008
Phone (310) 612-7027

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
106078CAMDDentist
66428CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1356618631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 TURTLE CREST DR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926031008",
            "telephone_number": "310-612-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16341 VENUS DR",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926837733",
            "telephone_number": "310-612-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEIZER",
        "first_name": "JENNIFER",
        "middle_name": "ELIZABETH",
        "credential": "LMFT106078",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-30",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "66428",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "106078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

  • 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.