Active NPI
Jessica Rose Gillespie, LMFT
- Marriage & Family Therapist
- Pasadena, CA
National Provider Identifier
1679102016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 98993
- Practice address
- 16 S Oakland Ave Ste 213
Pasadena, CA 91101-2042 - Phone
- (626) 708-0449
- NPI assigned
- Apr 7, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 98993 | CA | Primary |
Addresses
Primary practice location
16 S Oakland Ave Ste 213
Pasadena, CA 91101-2042
Mailing address
288 E Live Oak Ave # 125
Arcadia, CA 91006-5665
Phone (626) 708-0449
Other practice location 1
491 S Marengo Ave
Pasadena, CA 91101-3128
Phone (626) 708-0449
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | jessicagillespiemft.com | Other |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 98993 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631491200000",
"number": "1679102016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "288 E LIVE OAK AVE # 125",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910065665",
"telephone_number": "626-708-0449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 S OAKLAND AVE STE 213",
"city": "PASADENA",
"state": "CA",
"postal_code": "911012042",
"telephone_number": "626-708-0449"
}
],
"practiceLocations": [
{
"address_1": "491 S Marengo Ave",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "CA",
"postal_code": "911013128",
"country_code": "US",
"telephone_number": "626-708-0449",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GILLESPIE",
"first_name": "JESSICA",
"middle_name": "ROSE",
"name_prefix": "Mrs.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-07",
"last_updated": "2021-09-13",
"certification_date": "2021-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "98993",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "jessicagillespiemft.com",
"affiliation": "N",
"endpointDescription": "Professional Domain",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "jessicagillespiemft.com",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Professional URL",
"address_1": "491 S Marengo Ave",
"city": "Pasadena",
"state": "CA",
"country_code": "US",
"postal_code": "911013128",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.