Active NPI
Jennine Elise Powell, M.A., M.F.T.
- Marriage & Family Therapist
- San Diego, CA
National Provider Identifier
1619204831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC#47653
- Practice address
- 3333 Camino del Rio S Ste 215
San Diego, CA 92108-3837 - Phone
- (619) 471-7104
- Fax
- (619) 297-4496
- NPI assigned
- Nov 9, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LF61451096 | WA | |
| Marriage & Family Therapist | 106H00000X | MFC#47653 | CA | Primary |
Addresses
Primary practice location
3333 Camino del Rio S Ste 215
San Diego, CA 92108-3837
Mailing address
3333 Camino del Rio S Ste 215
San Diego, CA 92108-3837
Phone (619) 558-0001
Other practice location 1
705 W 7th Ave Ste A-2
Spokane, WA 99204-2836
Phone (509) 418-2980
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC#47653 | CA | MD | Marriage & Family Therapist |
| LF61451096 | WA | MD | Marriage & Family Therapist |
| 47653 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spokane Counseling Hub | Current | Accepting new patients |
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.
-
- Adult Mental Health Clinic/Center
- Spokane, WA
- NPI 1841096229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741046400000",
"number": "1619204831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 CAMINO DEL RIO S STE 215",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921083837",
"telephone_number": "619-558-0001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 CAMINO DEL RIO S STE 215",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921083837",
"telephone_number": "619-471-7104",
"fax_number": "619-297-4496"
}
],
"practiceLocations": [
{
"address_1": "705 W 7th Ave Ste A-2",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992042836",
"country_code": "US",
"telephone_number": "509-418-2980",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POWELL",
"first_name": "JENNINE",
"middle_name": "ELISE",
"name_prefix": "Mrs.",
"credential": "M.A., M.F.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-09",
"last_updated": "2025-03-04",
"certification_date": "2025-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "LF61451096",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC#47653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.