Individual provider Active NPI

Jessica Gene Reed, AMFT

  • Marriage & Family Therapist
  • San Jacinto, CA
National Provider Identifier
1609534825
Registry record updated Dec 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT106430 Issued in CA
Practice address
1370 S State St
San Jacinto, CA 92583-4933
Phone
(951) 791-3596
NPI assigned
Dec 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X AMFT106430 CA Primary

Addresses

Primary practice location

1370 S State St
San Jacinto, CA 92583-4933

Mailing address

25888 Clearview Dr
Hemet, CA 92544-4913
Phone (951) 663-7061

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241029003348 CA Practitioner - Marriage and Family Therapist 6507399573 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AMFT106430CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Resilience Center for Mental Wellness Inc CurrentSince Oct 9, 2024 Accepting new patients

Locations

422 N San Jacinto St
Hemet, CA 92543
Phone (833) 420-4501

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1638662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638662400000",
    "number": "1609534825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25888 CLEARVIEW DR",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925444913",
            "telephone_number": "951-663-7061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 S STATE ST",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925834933",
            "telephone_number": "951-791-3596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "JESSICA",
        "middle_name": "GENE",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-05",
        "last_updated": "2021-12-05",
        "certification_date": "2021-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT106430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jacinto, CA

Sources for this page

Verify at the official NPI Registry.