Active NPI
Jessica Lynn Hillis, AMFT
- Marriage & Family Therapist
- Rancho Santa Margarita, CA
National Provider Identifier
1366265498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 150298
- Practice address
- 29833 Santa Margarita Pkwy Ste 400
Rancho Santa Margarita, CA 92688-3619 - Phone
- (818) 582-8832
- Fax
- (818) 582-8836
- NPI assigned
- Nov 6, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 150298 | CA | Primary |
Addresses
Primary practice location
29833 Santa Margarita Pkwy Ste 400
Rancho Santa Margarita, CA 92688-3619
Mailing address
21622 Marguerite Pkwy Apt 265
Mission Viejo, CA 92692-4414
Phone (530) 640-2325
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
| License | State | Type | Specialty |
|---|---|---|---|
| 150298 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Teen Project, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Rancho Santa Margarita, CA
- NPI 1588207583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731456000000",
"number": "1366265498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21622 MARGUERITE PKWY APT 265",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926924414",
"telephone_number": "530-640-2325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29833 SANTA MARGARITA PKWY STE 400",
"city": "RANCHO SANTA MARGARITA",
"state": "CA",
"postal_code": "926883619",
"telephone_number": "818-582-8832",
"fax_number": "818-582-8836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILLIS",
"first_name": "JESSICA",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "AMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-06",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "150298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Santa Margarita, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.