Individual provider Active NPI

Jessica Guilfoyle, MFT

  • Marriage & Family Therapist
  • Dana Point, CA
National Provider Identifier
1629631262
Registry record updated Aug 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
90326 Issued in CA
Practice address
24681 La PLZ Ste 333
Dana Point, CA 92629-5701
Phone
(949) 842-1444
NPI assigned
Apr 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2020

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 90326 CA Primary

Addresses

Primary practice location

24681 La PLZ Ste 333
Dana Point, CA 92629-5701

Mailing address

24681 La PLZ Ste 333
Dana Point, CA 92629-5701
Phone (949) 842-1444

Other names 1

  • Jessica Prentice Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
90326CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Authenticity Marriage and Family Counseling Services Prof Corp Marriage & Family Therapist CurrentSince Apr 25, 2021 Accepting new patients

Locations

24681 La Plaza
Ste 333
Dana Point, CA 92629
Phone (949) 697-2712

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": "1555545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597536000000",
    "number": "1629631262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24681 LA PLZ STE 333",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926295701",
            "telephone_number": "949-842-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24681 LA PLZ STE 333",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926295701",
            "telephone_number": "949-842-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILFOYLE",
        "first_name": "JESSICA",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-18",
        "last_updated": "2020-08-16",
        "certification_date": "2020-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "90326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "PRENTICE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dana Point, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2020; 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.