Jasmine Avilez, MA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT144412 Issued in CA

Practice address

9265 Sky Park CT Ste 100
San Diego, CA 92123-4375

Phone

(844) 737-3638

Fax

(619) 403-9496

NPI assigned

Apr 4, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Serene Health

  • Mental Health Counselor
  • San Diego, CA
  • NPI 1649809526
  Medicare reassignment NPD
• Soultenders, Inc.

  • Clinical Psychologist
  • Arcadia, CA
  • NPI 1164617007

  Mental Health

  Medicare reassignment NPD
• Serene Health Ipa

  • Psychiatric/Mental Health Nurse Practitioner
  • Aiken, SC
  • NPI 1235950080
  NPD

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1649776980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 S GRENOBLE AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917914040",
            "telephone_number": "626-201-7089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9265 SKY PARK CT STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234375",
            "telephone_number": "844-737-3638",
            "fax_number": "619-403-9496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3569 Lexington Ave",
            "address_purpose": "LOCATION",
            "city": "El Monte",
            "state": "CA",
            "postal_code": "917312607",
            "country_code": "US",
            "telephone_number": "626-294-1079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AVILEZ",
        "first_name": "JASMINE",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "105085",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT144412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Aviles
• Charysse Marie Dilay Aviles, LCSW
• Erika Isabelle Aviles
• Johnny Gil Aviles, HOSPITAL CORPSMAN
• Julie S Aviles, RD
• Avina Dental Corporation
• Avina Psychological Services, Inc.
• Alan Arturo Avina
• Anthony Roy Avina
• Cheryl L. Avina, MFT

• 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 Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.