Jessica Marie Magenheimer, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT 84128 Issued in CA

Practice address

2219 Main St # 179
Santa Monica, CA 90405-2217

Phone

(310) 800-1630

NPI assigned

Jun 2, 2010

Last updated

Feb 13, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613174400000",
    "number": "1356661227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 MAIN ST # 179",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904052217",
            "telephone_number": "310-800-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2219 MAIN ST # 179",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904052217",
            "telephone_number": "310-800-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGENHEIMER",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-02",
        "last_updated": "2021-02-13",
        "certification_date": "2021-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T1718",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT 84128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Madrigal
• Alaina Maender, MS, OTR/L
• Raul Magallanes
• Renee N. Magana, M.D.
• Isabele Magbanua, OTD, OTR/L
• Jennifer Maggart, RN, RADT-II
• Maggie Dinome, M.D.
• Rochelle Leonardo Maghirang, CPHT
• Margarita Maghtesyan, PMHNP-BC
• Emily Magid, IBCLC, MPH, MSW

• Marriage & Family Therapist in Santa Monica, CA
• Providers in Santa Monica, 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 Feb 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.