Individual provider Active NPI

Jessica Feitelberg

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1750958542
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
145977 Issued in CA
Practice address
5405 Morehouse Dr Ste 330
San Diego, CA 92121-4786
Phone
(619) 887-4078
NPI assigned
Jun 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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 145977 CA Primary

Addresses

Primary practice location

5405 Morehouse Dr Ste 330
San Diego, CA 92121-4786

Mailing address

5405 Morehouse Dr Ste 330
San Diego, CA 92121-4786
Phone (619) 887-4078

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
145977CAMDMarriage & Family Therapist

Interoperability endpoints

  • Direct secure messaging: jessica.lopez.p1@direct.sokya.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1750958542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5405 MOREHOUSE DR STE 330",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214786",
            "telephone_number": "619-887-4078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 MOREHOUSE DR STE 330",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214786",
            "telephone_number": "619-887-4078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEITELBERG",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "145977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Dec 4, 2024; 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.