Living Within Therapy- Marriage and Family Therapy

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

LIVING WITHIN THERAPY- MARRIAGE AND FAMILY THERAPY

Practice address

3505 Camino del Rio S Ste 338
San Diego, CA 92108-4017

Phone

(619) 880-6427

NPI assigned

Jul 20, 2021

Organization subpart

No

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

Authorized official

Name

Jaclyn NematbakhshNPI 1225320229

Title

Therapist

Phone

(619) 880-6427

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jaclyn Nematbakhsh

  • Marriage & Family Therapist
  • San Diego, CA
  • NPI 1225320229
  NPD Authorized official
• Amber Leigh Laurie

  • Clinical Social Worker
  • San Diego, CA
  • NPI 1164083614
  NPD

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1629641311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 CAMINO DEL RIO S STE 338",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084017",
            "telephone_number": "619-880-6427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 CAMINO DEL RIO S STE 338",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084017",
            "telephone_number": "619-880-6427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WITHIN THERAPY- MARRIAGE AND FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "NEMATBAKHSH",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "619-880-6427"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.sandiegotherapist.org",
            "affiliation": "N",
            "endpointDescription": "e-mail correspondence",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3505 Camino Del Rio S Ste 338",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921084017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elisa Danielle Lively
• Sarah Livermore, NP
• Living Epistles Services LLC
• Living Lotus Family Therapy, Inc. (Living Lotus Therapy)
• Living Spinal LLC
• Cheyenne Autumn Livingston
• Hannah Livingston
• Tamara Livingston, M.A.
• Theresa Cherie Livingston
• Brian Patrick Livingstone, A.T.,C.

• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.