Individual provider Active NPI

Jessica Oifer Stelle, M.A., L. M.F.T.

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1356772875
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
54051 Issued in CA
Practice address
13323 W Washington Blvd Ste 309
Los Angeles, CA 90066-5188
Phone
(424) 384-3772
NPI assigned
Dec 9, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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 54051 CA Primary

Addresses

Primary practice location

13323 W Washington Blvd Ste 309
Los Angeles, CA 90066-5188

Mailing address

13323 W Washington Blvd Ste 309
Los Angeles, CA 90066-5188
Phone (424) 384-3772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
54051CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1356772875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13323 W WASHINGTON BLVD STE 309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665188",
            "telephone_number": "424-384-3772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13323 W WASHINGTON BLVD STE 309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665188",
            "telephone_number": "424-384-3772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STELLE",
        "first_name": "JESSICA",
        "middle_name": "OIFER",
        "credential": "M.A., L. M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-09",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "54051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.