Individual provider Active NPI

Jasmine Joette Cedeno

  • Marriage & Family Therapist
  • Long Beach, CA
National Provider Identifier
1477297760
Registry record updated Apr 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT117401 Issued in CA
Practice address
115 Pine Ave Ste 440
Long Beach, CA 90802-4457
Phone
(562) 248-9409
Fax
(562) 432-0089
NPI assigned
Apr 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 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 AMFT117401 CA Primary

Addresses

Primary practice location

115 Pine Ave Ste 440
Long Beach, CA 90802-4457

Mailing address

115 Pine Ave Ste 440
Long Beach, CA 90802-4457
Phone (562) 432-0088

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@garciapsychservices.com

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
AMFT117401CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Maribel Garcia, PSYD Marriage & Family Therapist PastSince May 1, 2022 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1650672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650672000000",
    "number": "1477297760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 PINE AVE STE 440",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024457",
            "telephone_number": "562-432-0088",
            "fax_number": "562-432-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 PINE AVE STE 440",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024457",
            "telephone_number": "562-248-9409",
            "fax_number": "562-432-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEDENO",
        "first_name": "JASMINE",
        "middle_name": "JOETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-23",
        "last_updated": "2022-04-23",
        "certification_date": "2022-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT117401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@garciapsychservices.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "address_1": "115 Pine Ave Ste 440",
            "city": "Long Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "908024457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.