Organization Active NPI

JLM Marriage and Family Therapy Inc.

  • Mental Health Counselor
  • Encinitas, CA
National Provider Identifier
1598240723
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
JLM MARRIAGE AND FAMILY THERAPY INC.
Practice address
1991 Village Park Way Ste 100
Encinitas, CA 92024-1966
Phone
(858) 633-6760
NPI assigned
Oct 3, 2018
Last updated
Oct 3, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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

Authorized official

Name
Mrs. Jennier Manderscheid, MFT
Title
Therapist/Owner
Phone
(858) 337-7830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1991 Village Park Way Ste 100
Encinitas, CA 92024-1966

Mailing address

1991 Village Park Way Ste 100
Encinitas, CA 92024-1966
Phone (858) 633-6760

National Provider Directory

National Provider Directory

Locations

1991 Village Park Way
Ste 100
Encinitas, CA 92024
Phone (760) 274-7965

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538524800000",
    "number": "1598240723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1991 VILLAGE PARK WAY STE 100",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241966",
            "telephone_number": "858-633-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 VILLAGE PARK WAY STE 100",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241966",
            "telephone_number": "858-633-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JLM MARRIAGE AND FAMILY THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-03",
        "last_updated": "2018-10-03",
        "status": "A",
        "authorized_official_last_name": "MANDERSCHEID",
        "authorized_official_first_name": "JENNIER",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "858-337-7830",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.