Active NPI
Jillian Luz, LMFT
- Marriage & Family Therapist
- South Pasadena, CA
National Provider Identifier
1801272075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- IMF93194
- Practice address
- 1605 Hope St Ste 350
South Pasadena, CA 91030 - Phone
- (626) 249-4495
- NPI assigned
- Aug 10, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 111449 | CA | |
| Marriage & Family Therapist | 106H00000X | IMF93194 | CA | Primary |
Addresses
Primary practice location
1605 Hope St Ste 350
South Pasadena, CA 91030
Mailing address
1605 Hope St Ste 350
South Pasadena, CA 91030-2658
Phone (626) 249-4495
Other practice location 1
13130 Burbank Blvd
Sherman Oaks, CA 91401-6037
Phone (818) 779-2653
Other practice location 2
3519 Eagle Rock Blvd
Los Angeles, CA 90065
Phone (323) 250-9137
Other practice location 3
507 Mission St
South Pasadena, CA 91030-3035
Phone (323) 250-9137
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 17, 2024 through Jun 17, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111449 | CA | MD | Marriage & Family Therapist |
| IMF93194 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578096000000",
"number": "1801272075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 HOPE ST STE 350",
"city": "SOUTH PASADENA",
"state": "CA",
"postal_code": "910302658",
"telephone_number": "626-249-4495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1605 HOPE ST STE 350",
"city": "SOUTH PASADENA",
"state": "CA",
"postal_code": "91030",
"telephone_number": "626-249-4495"
}
],
"practiceLocations": [
{
"address_1": "13130 Burbank Blvd",
"address_purpose": "LOCATION",
"city": "Sherman Oaks",
"state": "CA",
"postal_code": "914016037",
"country_code": "US",
"telephone_number": "818-779-2653",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3519 Eagle Rock Blvd",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "90065",
"country_code": "US",
"telephone_number": "323-250-9137",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "507 Mission St",
"address_purpose": "LOCATION",
"city": "South Pasadena",
"state": "CA",
"postal_code": "910303035",
"country_code": "US",
"telephone_number": "323-250-9137",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUZ",
"first_name": "JILLIAN",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-10",
"last_updated": "2020-01-04",
"certification_date": "2020-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "111449",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF93194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.