Jazmine Ortiz Ulibarri, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

116297 Issued in CA

Practice address

595 E Colorado Blvd Ste 433
Pasadena, CA 91101-2057

Phone

(626) 578-5501

NPI assigned

Aug 26, 2013

Last updated

Nov 24, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

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.

• Sandbox Family Services

  • Marriage & Family Therapist
  • Pasadena, CA
  • NPI 1821688532
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637712000000",
    "number": "1598199630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 E COLORADO BLVD STE 433",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012057",
            "telephone_number": "626-578-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 E COLORADO BLVD STE 433",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012057",
            "telephone_number": "626-578-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULIBARRI",
        "first_name": "JAZMINE",
        "middle_name": "ORTIZ",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-26",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "116297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER PERMANENTE",
            "identifier": "86-1569698",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.sandboxfamilyservices.com/",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "595 E Colorado Blvd Ste 433",
            "city": "Pasadena",
            "state": "CA",
            "country_code": "US",
            "postal_code": "911012057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Toshiaki Udo, PH.D.
• Farida Udwadia
• Nicolaas Mikael Ugalde
• Gabriel Ugarte
• Jessica Ugolik
• David Michael Ulick, MD
• Guillermo Daniel Ulloa, LMFT
• Nicolas Uriel Ulloa
• Stephanie Ulysse
• Jaeyoon Um

• Marriage & Family Therapist in Pasadena, CA
• Providers in Pasadena, 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 24, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.