Active NPI
Jesse M Trice III, MFT
- Marriage & Family Therapist
- Los Alamitos, CA
National Provider Identifier
1427170802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 33321
- Practice address
- 5122 Katella Ave
Suite 305
Los Alamitos, CA 90720-2826 - Phone
- (562) 596-2142
- Fax
- (562) 799-6657
- NPI assigned
- Apr 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 33321 | CA | Primary |
Addresses
Primary practice location
5122 Katella Ave
Suite 305
Los Alamitos, CA 90720-2826
Mailing address
5122 Katella Ave
Suite 305
Los Alamitos, CA 90720-2826
Phone (562) 596-2142
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 15, 2025 through Oct 15, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427170802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5122 KATELLA AVE",
"address_2": "SUITE 305",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907202826",
"telephone_number": "562-596-2142",
"fax_number": "562-799-6657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5122 KATELLA AVE",
"address_2": "SUITE 305",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907202826",
"telephone_number": "562-596-2142",
"fax_number": "562-799-6657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRICE",
"first_name": "JESSE",
"middle_name": "M",
"name_suffix": "III",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "33321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Alamitos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.