Individual provider Active NPI

Jennifer Lynn Chokemesil

  • Marriage & Family Therapist
  • Rolling Hills Estates, CA
National Provider Identifier
1780719005
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
52898 Issued in CA
Practice address
4030 Palos Verdes Dr N
Suite 106
Rolling Hills Estates, CA 90274-2526
Phone
(310) 808-3719
NPI assigned
Feb 23, 2007
Sex
Female
Sole proprietor
No

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
52898CAMDPharmacist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 52898 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

4030 Palos Verdes Dr N
Suite 106
Rolling Hills Estates, CA 90274-2526

Mailing address

4030 Palos Verdes Dr N
Suite 106
Rolling Hills Estates, CA 90274-1669
Phone (310) 658-1070

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 19, 2020.

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1780719005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 PALOS VERDES DR N",
            "address_2": "SUITE 106",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902741669",
            "telephone_number": "310-658-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 PALOS VERDES DR N",
            "address_2": "SUITE 106",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902742526",
            "telephone_number": "310-808-3719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOKEMESIL",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "52898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolling Hills Estates, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.

Verify at the official NPI Registry.