Active NPI
Jeanne Marie Abbott Prinzivalli
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1366749103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 52833
- Practice address
- 10642 Santa Monica Blvd Apt 209
Los Angeles, CA 90025-4850 - Phone
- (323) 879-7809
- Fax
- (323) 879-3899
- NPI assigned
- Feb 14, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 52833 | CA | Primary |
| Massage Therapist | 225700000X | 165 | CA |
Addresses
Primary practice location
10642 Santa Monica Blvd Apt 209
Los Angeles, CA 90025-4850
Mailing address
10008 National Blvd # 236
Los Angeles, CA 90034-3809
Phone (310) 806-5386
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7667 | Other | CA | MEDI-CAL |
| 7184 | Other | CA | MEDI-CAL |
| 7368 | Other | CA | MEDI-CAL |
| 7708 | Other | CA | MEDI-CAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2009
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
10008 National Blvd
Suite 236
Los Angeles, CA 90034-3809
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 165 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blossom Wellness Spa Inc | Marriage & Family Therapist | Current | Accepting new patients |
Locations
10008 National Blvd
Los Angeles, CA 90034
Phone (310) 806-5386
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.
-
- Marriage & Family Therapist
- Los Angeles, CA
- NPI 1336858869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779753600000",
"number": "1366749103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10008 NATIONAL BLVD # 236",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900343809",
"telephone_number": "310-806-5386",
"fax_number": "323-879-3899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10642 SANTA MONICA BLVD APT 209",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900254850",
"telephone_number": "323-879-7809",
"fax_number": "323-879-3899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRINZIVALLI",
"first_name": "JEANNE",
"middle_name": "MARIE ABBOTT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-14",
"last_updated": "2026-05-26",
"certification_date": "2026-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "52833",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "CA",
"license": "165",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "7667",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "7184",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "7368",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "7708",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.