Individual provider Active NPI

D. Jennifer Magbanua, LMFT

  • Marriage & Family Therapist
  • Orlando, FL
National Provider Identifier
1700104544
Registry record updated May 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT2439 Issued in FL
Practice address
7651 Ashley Park CT # B
Suite 404
Orlando, FL 32835-6114
Phone
(407) 536-8877
NPI assigned
May 4, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2014

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 MT2439 FL Primary

Addresses

Primary practice location

7651 Ashley Park CT # B
Suite 404
Orlando, FL 32835-6114

Mailing address

7651 Ashley Park CT # B
Suite 404
Orlando, FL 32835-6114
Phone (407) 536-8877

Other names 1

  • Miss D. Jennifer Mainwaring 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
MT2439FLMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399420800000",
    "number": "1700104544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7651 ASHLEY PARK CT # B",
            "address_2": "SUITE 404",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328356114",
            "telephone_number": "407-536-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7651 ASHLEY PARK CT # B",
            "address_2": "SUITE 404",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328356114",
            "telephone_number": "407-536-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGBANUA",
        "first_name": "D.",
        "middle_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-04",
        "last_updated": "2014-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT2439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "D.",
            "last_name": "MAINWARING",
            "middle_name": "JENNIFER",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; 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.