Active NPI
Jaycee Edmiston
- Marriage & Family Therapist
- Irvine, CA
National Provider Identifier
1467247692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 163145
- Practice address
- 15635 Alton Pkwy Ste 350
Irvine, CA 92618-7333 - Phone
- (949) 528-6300
- NPI assigned
- Apr 9, 2025
- Sex
- Female
- Sole proprietor
- No
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 | 163145 | CA | Primary |
Addresses
Primary practice location
15635 Alton Pkwy Ste 350
Irvine, CA 92618-7333
Mailing address
15635 Alton Pkwy Ste 350
Irvine, CA 92618-7333
Phone (949) 528-6300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
15635 Alton Pkwy
Suite 350
Irvine, CA 92618-3309
28243 Via del Mar
San Juan Capistrano, CA 92675-6342
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 145281 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1467247692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15635 ALTON PKWY STE 350",
"city": "IRVINE",
"state": "CA",
"postal_code": "926187333",
"telephone_number": "949-528-6300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15635 ALTON PKWY STE 350",
"city": "IRVINE",
"state": "CA",
"postal_code": "926187333",
"telephone_number": "949-528-6300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDMISTON",
"first_name": "JAYCEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-09",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "163145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.