Individual provider Active NPI

Jennifer Suzanne Newlin Stewart, LMFT, LAADC-CA

  • Marriage & Family Therapist
  • Huntington Beach, CA
National Provider Identifier
1588920425
Registry record updated Aug 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
90124 Issued in CA
Practice address
301 Main St Ste 201
Huntington Beach, CA 92648
Phone
(714) 312-1011
NPI assigned
Apr 4, 2012
Last updated
Aug 25, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
90124CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wavelengths Recovery PastSince May 24, 2020 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.

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

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.

Verify at the official NPI Registry.