Organization Active NPI

Jessica Wright Licensed Professional Clinical Counselor Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Marina del Rey, CA
National Provider Identifier
1396501466
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
JESSICA WRIGHT LICENSED PROFESSIONAL CLINICAL COUNSELOR INC.
Practice address
4143 Via Marina
Marina del Rey, CA 90292-5303
Phone
(310) 571-8912
NPI assigned
Feb 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Authorized official

Name
Jessica Wright, MS, LPC (CO), LPCCNPI 1316473036
Title
Owner/Therapist
Phone
(310) 571-8912

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4143 Via Marina
Marina del Rey, CA 90292-5303

Mailing address

578 Washington Blvd # 285
Marina del Rey, CA 90292-5421
Phone (310) 571-8912

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1396501466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "578 WASHINGTON BLVD # 285",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925421",
            "telephone_number": "310-571-8912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4143 VIA MARINA",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925303",
            "telephone_number": "310-571-8912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA WRIGHT LICENSED PROFESSIONAL CLINICAL COUNSELOR INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "310-571-8912",
        "authorized_official_credential": "MS, LPC (CO), LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marina del Rey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.

Verify at the official NPI Registry.