Individual provider Active NPI

Jessica Julia Enny, M.A.

  • Marriage & Family Therapist
  • Salinas, CA
National Provider Identifier
1760854616
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
112634 Issued in CA
Practice address
1441 Constitution Blvd Ste 202
Salinas, CA 93906-3127
Phone
(831) 796-1700
Fax
(831) 769-0552
NPI assigned
Oct 29, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PCCI2282 CA
Professional Counselor 101YP2500X LPCC8825 CA
Marriage & Family Therapist 106H00000X IMF88026 CA
Marriage & Family Therapist 106H00000X 112634 CA Primary

Addresses

Primary practice location

1441 Constitution Blvd Ste 202
Salinas, CA 93906-3127

Mailing address

788 Central Ave
Salinas, CA 93901-1310
Phone (831) 262-1394

Other practice location 1

788 Central Ave
Salinas, CA 93901-1310
Phone (831) 262-1394

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240409003685 CA Practitioner - Marriage and Family Therapist 3375981384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of MontereyGroup PAC ID 2466345632, 186 clinicians

Practice addresses (Care Compare)

1441 Constitution Blvd
Suite 202
Salinas, CA 93906-3127
Phone (831) 769-1700

359 Gabilan Dr
Soledad, CA 93960-3550
Phone (831) 769-8740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPCC8825CAMDProfessional Counselor
PCCI2282CAMDProfessional Counselor
IMF88026CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Monterey Behavioral Health CurrentSince Feb 21, 2024 Accepting new patients
County of Monterey Behavioral Health CurrentSince Feb 21, 2024 Accepting new patients

Locations

1441 Constitution Blvd
Ste 202
Salinas, CA 93906
Phone (831) 796-1700

1270 Natividad Rd
Salinas, CA 93906
Phone (831) 755-4500

359 Gabilan Dr
Soledad, CA 93960
Phone (831) 769-8740

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1446076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1760854616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "788 CENTRAL AVE",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939011310",
            "telephone_number": "831-262-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 CONSTITUTION BLVD STE 202",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939063127",
            "telephone_number": "831-796-1700",
            "fax_number": "831-769-0552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "788 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "939011310",
            "country_code": "US",
            "telephone_number": "831-262-1394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENNY",
        "first_name": "JESSICA",
        "middle_name": "JULIA",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-29",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "PCCI2282",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LPCC8825",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF88026",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "112634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.