Individual provider Active NPI

Jenna Uhrik, MS

  • Marriage & Family Therapist
  • Temecula, CA
National Provider Identifier
1609423029
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
130815 Issued in CA
Practice address
42690 Rio Nedo Ste E
Temecula, CA 92590-3723
Phone
(951) 365-1518
NPI assigned
Aug 20, 2019
Last updated
Jun 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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 2205 TN
Marriage & Family Therapist 106H00000X 130815 CA Primary

Addresses

Primary practice location

42690 Rio Nedo Ste E
Temecula, CA 92590-3723

Mailing address

42690 Rio Nedo Ste E
Temecula, CA 92590-3723

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 23, 2024 through Feb 23, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
130815CAMDMarriage & Family Therapist
2205TNMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1609423029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42690 RIO NEDO STE E",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925903723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42690 RIO NEDO STE E",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925903723",
            "telephone_number": "951-365-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UHRIK",
        "first_name": "JENNA",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TN",
            "license": "2205",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "130815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.