Individual provider Active NPI

Jill Catherine Fleming, MFT

  • Marriage & Family Therapist
  • La Jolla, CA
National Provider Identifier
1821154030
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC39229 Issued in CA
Practice address
4180 La Jolla Village Dr Ste 240-250
La Jolla, CA 92037-1402
Phone
(858) 277-2659
Fax
(858) 779-2511
NPI assigned
Dec 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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 MFC39229 CA Primary

Addresses

Primary practice location

4180 La Jolla Village Dr Ste 240-250
La Jolla, CA 92037-1402

Mailing address

1400 Veterans Blvd
Redwood City, CA 94063-2612
Phone (650) 299-4767

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq Health Information Exchange (HIE) The Permanente Medical Group

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
I20251124004522 CA Practitioner - Marriage and Family Therapist 5294227518 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

39210 State St
Fremont, CA 94538-1456

4180 La Jolla Village Dr
Suite 240
La Jolla, CA 92037-1402

777 Morrell Ave Apt
Suite 304
Burlingame, CA 94010-2676

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC39229CAMDMarriage & Family Therapist
39229CAMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Neurohealth, Inc. CurrentSince Aug 7, 2025 Accepting new patients
Ocean Psychiatry Inc CurrentSince May 15, 2026 Accepting new patients

Locations

39210 State St
Ste 100
Fremont, CA 94538
Phone (510) 399-7080

4180 La Jolla Village Dr
Ste 240
La Jolla, CA 92037
Phone (310) 277-9534

23521 Paseo de Valencia
Ste 300
Laguna Hills, CA 92653
Phone (866) 277-2659

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1821154030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 VETERANS BLVD",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940632612",
            "telephone_number": "650-299-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4180 LA JOLLA VILLAGE DR STE 240-250",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371402",
            "telephone_number": "858-277-2659",
            "fax_number": "858-779-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "JILL",
        "middle_name": "CATHERINE",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC39229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1400 Veterans Blvd",
            "city": "Redwood City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "940632612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.