Active NPI
Jennifer Leigh Contreras, LMFT
- Marriage & Family Therapist
- Seal Beach, CA
National Provider Identifier
1780974006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- IMF65385
- Practice address
- 13001 Seal Beach Blvd
Suite 360
Seal Beach, CA 90740-2753 - Phone
- (714) 401-4617
- NPI assigned
- Apr 8, 2011
- 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 | IMF65385 | CA | Primary |
Addresses
Primary practice location
13001 Seal Beach Blvd
Suite 360
Seal Beach, CA 90740-2753
Mailing address
13001 Seal Beach Blvd
Suite 360
Seal Beach, CA 90740-2753
Phone (714) 401-4617
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
| License | State | Type | Specialty |
|---|---|---|---|
| IMF65385 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486166400000",
"number": "1780974006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13001 SEAL BEACH BLVD",
"address_2": "SUITE 360",
"city": "SEAL BEACH",
"state": "CA",
"postal_code": "907402753",
"telephone_number": "714-401-4617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13001 SEAL BEACH BLVD",
"address_2": "SUITE 360",
"city": "SEAL BEACH",
"state": "CA",
"postal_code": "907402753",
"telephone_number": "714-401-4617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONTRERAS",
"first_name": "JENNIFER",
"middle_name": "LEIGH",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-08",
"last_updated": "2017-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF65385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seal Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.