Individual provider Active NPI

Jazminne Mobley

  • Marriage & Family Therapist
  • Santa Ana, CA
National Provider Identifier
1417582115
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
138930 Issued in CA
Practice address
2677 N Main St Ste 130
Santa Ana, CA 92705-6665
Phone
(714) 759-5358
NPI assigned
Mar 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 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 138930 CA Primary

Addresses

Primary practice location

2677 N Main St Ste 130
Santa Ana, CA 92705-6665

Mailing address

PO Box 50012
Bowling Green, KY 42102-2612
Phone (714) 551-7077

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

LicenseStateTypeSpecialty
138930CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sensible Care, a Medical Corporation CurrentSince Jul 2, 2023 Accepting new patients

Locations

24422 Avenida de la Carlota
Ste 190
Laguna Hills, CA 92653
Phone (800) 801-9833

2677 N Main St
Ste 110
Santa Ana, CA 92705
Phone (657) 232-1139

2677 N Main St
Ste 130
Santa Ana, CA 92705
Phone (714) 274-7577

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1417582115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50012",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421022612",
            "telephone_number": "714-551-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2677 N MAIN ST STE 130",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927056665",
            "telephone_number": "714-759-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOBLEY",
        "first_name": "JAZMINNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-03",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "138930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.