Jenny Ellingsen Dba Genesis Group

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

CA# MFC19117 Issued in CA

Legal business name

JENNY ELLINGSEN DBA GENESIS GROUP

Practice address

3150 El Camino Real
Suite E
Carlsbad, CA 92008-2110

Phone

(760) 729-5705

Fax

(760) 632-0223

NPI assigned

Mar 31, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Jenny Rodelander Ellingsen, MS

Title

Director

Phone

(760) 729-5705

Specialties & licenses 1

Addresses

Other names 1

• Genesis Group Former legal business name

Locations

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831219773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 EL CAMINO REAL",
            "address_2": "SUITE E",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082110",
            "telephone_number": "760-729-5705",
            "fax_number": "760-632-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 EL CAMINO REAL",
            "address_2": "SUITE E",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082110",
            "telephone_number": "760-729-5705",
            "fax_number": "760-632-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNY ELLINGSEN DBA GENESIS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELLINGSEN",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "RODELANDER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "760-729-5705",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "CA# MFC19117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Group",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jenna Khoury DMD Inc
• Jonathan Jenness, OD
• Cheryl Lynn Jennett, M.D
• Bryonna Maria Jennings
• Tiffany Jennings
• Kiara Jernberg
• Andrea Jernee
• Catherine Elizabeth Jerskey, MS
• Lauren B Jeter
• Gyoung-Jean Jho, PSYD

• Marriage & Family Therapist in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.