Active NPI
Jennifer Suzanne Newlin Stewart, LMFT, LAADC-CA
- Marriage & Family Therapist
- Huntington Beach, CA
National Provider Identifier
1588920425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 90124
- Practice address
- 301 Main St Ste 201
Huntington Beach, CA 92648 - Phone
- (714) 312-1011
- NPI assigned
- Apr 4, 2012
- Last updated
- Aug 25, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 90124 | CA | Primary |
| Behavior Analyst | 103K00000X | NU |
Addresses
Primary practice location
301 Main St Ste 201
Huntington Beach, CA 92648
Mailing address
301 Main St Ste 201
Huntington Beach, CA 92648-5171
Phone (714) 312-1011
Other practice location 1
11777 Sebastian Way Ste 102
Rancho Cucamonga, CA 91730-0707
Phone (909) 838-0044
Other names 1
- Jennifer Suzanne Newlin
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
| License | State | Type | Specialty |
|---|---|---|---|
| 90124 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wavelengths Recovery | Past | Accepting new patients | |
| Wavelengths Recovery, Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Petaluma, CA
- NPI 1174146658
-
- Substance Abuse Rehabilitation Facility
- Huntington Beach, CA
- NPI 1376923151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535155200000",
"number": "1588920425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 MAIN ST STE 201",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926485171",
"telephone_number": "714-312-1011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 MAIN ST STE 201",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "92648",
"telephone_number": "714-312-1011"
}
],
"practiceLocations": [
{
"address_1": "11777 Sebastian Way Ste 102",
"address_purpose": "LOCATION",
"city": "Rancho Cucamonga",
"state": "CA",
"postal_code": "917300707",
"country_code": "US",
"telephone_number": "909-838-0044",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEWLIN STEWART",
"first_name": "JENNIFER",
"middle_name": "SUZANNE",
"credential": "LMFT, LAADC-CA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-04",
"last_updated": "2018-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "90124",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "NEWLIN",
"middle_name": "SUZANNE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Huntington Beach, CA
- New Life Spirit Recovery, Inc.
- New Life Spirit, Inc.
- New Skin Uvb Light Therapy
- Trevor Newberry
- Peter Newen, M.D.
- Bridgette Newman
- Emily Elizabeth Newman, MFT
- Scott H. Newman, M.D.
- Newport Adult Day Health Care Center, Inc. (Huntington Adult Day Health Care Center)
- Newport Beach OB/GYN Medical Group, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.