Jaclyn Carroll Hadjipieris, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

146457 Issued in CA

Practice address

4025 Camino del Rio S # 250a
San Diego, CA 92108-4107

Phone

(619) 858-3105

Fax

(619) 280-5420

NPI assigned

May 9, 2024

Last updated

Nov 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Center for Enriching Relationships IncGroup PAC ID 0143506667, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Center for Enriching Relationships, Inc

  • Marriage & Family Therapist
  • San Diego, CA
  • NPI 1457591364
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1715212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1528816071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 CAMINO DEL RIO S # 250A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084107",
            "telephone_number": "619-858-3105",
            "fax_number": "619-280-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 CAMINO DEL RIO S # 250A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084107",
            "telephone_number": "619-858-3105",
            "fax_number": "619-280-5420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADJIPIERIS",
        "first_name": "JACLYN",
        "middle_name": "CARROLL",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-09",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "146457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandria Elizabeth Hadge
• Mohanad Salwan Hadi Hadi, M.D.
• Alexa Hadinoto, PT, DPT
• Hana Gracia Hadiprodjo, DO
• Carly F Hadjeasgari
• Nicole Lee Hadler, MD
• Emma Hadley
• Jayla Hadley, RN
• Sue Ann Hadley, APRN
• Sophia Hadsall, MD

• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.

Verify at the official NPI Registry.