Active NPI
Jessica Harvey, LMFT
- Marriage & Family Therapist
- San Diego, CA
National Provider Identifier
1679182091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 92802
- Practice address
- 11838 Bernardo Plaza CT Ste 250
San Diego, CA 92128-2434 - Phone
- (858) 360-6111
- NPI assigned
- Jul 31, 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 | 92802 | CA | Primary |
Addresses
Primary practice location
11838 Bernardo Plaza CT Ste 250
San Diego, CA 92128-2434
Mailing address
12770 Prairie Dog Ave
San Diego, CA 92129-2212
Phone (909) 434-5257
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.reproductivetherapy.com |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reproductive Mental Health and Wellness Licensed Clinical Social Worke | Single Specialty | Past | 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.
-
- Clinical Social Worker
- San Diego, CA
- NPI 1497300693
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596153600000",
"number": "1679182091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12770 PRAIRIE DOG AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921292212",
"telephone_number": "909-434-5257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11838 BERNARDO PLAZA CT STE 250",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921282434",
"telephone_number": "858-360-6111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARVEY",
"first_name": "JESSICA",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-31",
"last_updated": "2020-07-31",
"certification_date": "2020-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "92802",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.reproductivetherapy.com",
"affiliation": "N",
"address_1": "11838 Bernardo Plaza Ct Ste 250",
"city": "San Diego",
"state": "CA",
"country_code": "US",
"postal_code": "921282434",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jul 31, 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.