Individual provider Active NPI

Jamila Joelle Banks, LMFT

  • Marriage & Family Therapist
  • Hemet, CA
National Provider Identifier
1417280421
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT125421 Issued in CA
Practice address
916 N. State Street
Hemet, CA 92543
Phone
(310) 885-1409
NPI assigned
Sep 9, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 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 LMFT125421 CA Primary

Addresses

Primary practice location

916 N. State Street
Hemet, CA 92543

Mailing address

916 N. State Street
Hemet, CA 92543
Phone (310) 885-1409

Other practice location 1

11315 Atlantic Ave
Lynwood, CA 90262-3007
Phone (310) 537-5883

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240620001041 CA Practitioner - Marriage and Family Therapist 7214470111 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psych PartnersGroup PAC ID 0840639746, 24 clinicians

Practice addresses (Care Compare)

27349 Jefferson Ave
Suite 111
Temecula, CA 92590-5610
Phone (951) 383-4460

4452 Gallop CT
Hemet, CA 92545-7305
Phone (310) 885-1409

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT125421CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Psych Partners CurrentSince Apr 21, 2024 Accepting new patients
Ceome LLC Marriage & Family Therapist Current Accepting new patients
Psychology Partners a Prof Corp Marriage & Family Therapist PastSince Sep 14, 2025 Accepting new patients

Locations

27349 Jefferson Ave
Ste 111
Temecula, CA 92590
Phone (949) 201-8260

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1417280421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 N. STATE STREET",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "92543",
            "telephone_number": "310-885-1409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 N. STATE STREET",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "92543",
            "telephone_number": "310-885-1409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11315 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Lynwood",
            "state": "CA",
            "postal_code": "902623007",
            "country_code": "US",
            "telephone_number": "310-537-5883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANKS",
        "first_name": "JAMILA",
        "middle_name": "JOELLE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-09",
        "last_updated": "2024-01-18",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT125421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

Verify at the official NPI Registry.