Individual provider Active NPI

Jessica Pappas

  • Marriage & Family Therapist
  • Santa Cruz, CA
National Provider Identifier
1467109447
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
130568 Issued in CA
Practice address
700 Frederick St Ste 103
Santa Cruz, CA 95062-2239
Phone
(831) 996-1222
NPI assigned
Mar 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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 130568 CA Primary

Addresses

Primary practice location

700 Frederick St Ste 103
Santa Cruz, CA 95062-2239

Mailing address

4231 Grace St Apt 3
Capitola, CA 95010-3583

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
130568CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Shine a Light Counseling Center, Inc CurrentSince Mar 13, 2022 Accepting new patients
New Perspectives Center for Counseling Marriage & Family Therapist CurrentSince Sep 1, 2024 Accepting new patients

Locations

700 Frederick St
Ste 103
Santa Cruz, CA 95062
Phone (831) 222-0111

Organizations & group practices 2

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": "1646784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1467109447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4231 GRACE ST APT 3",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950103583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 FREDERICK ST STE 103",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622239",
            "telephone_number": "831-996-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPPAS",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "130568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.