Individual provider Active NPI

Winfred Alarcon, LMFT

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1831650530
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT134460 Issued in CA
Practice address
1111 6TH Ave Ste 550
San Diego, CA 92101-5211
Phone
(619) 722-8148
NPI assigned
Mar 26, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Marriage & Family Therapist 106H00000X LMFT134460 CA Primary
Marriage & Family Therapist 106H00000X TPMF799 FL
Marriage & Family Therapist 106H00000X 0717002244 VA

Addresses

Primary practice location

1111 6TH Ave Ste 550
San Diego, CA 92101-5211

Mailing address

4780 155 N
Ste 116 202048
Jackson, MS 39211
Phone (619) 722-8148

Other practice location 1

625 Citracado Pkwy Ste 102
Escondido, CA 92025-6428
Phone (760) 294-9270

Other practice location 2

4780 155 N
Ste 116 202048
Jackson, MS 39211
Phone (619) 722-8148

Other names 1

  • Jay Alarcon Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jay@sccs.clinic Direct

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
LMFT134460CAMDMarriage & Family Therapist
TPMF799FLMDMarriage & Family Therapist
0717002244VAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Connections Community Services Marriage & Family Therapist CurrentSince Dec 1, 2024 Accepting new patients
Hillside Oaks Marriage and Family Therapy Inc Marriage & Family Therapist Current Accepting new patients

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": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1831650530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4780 155 N",
            "address_2": "STE 116 202048",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39211",
            "telephone_number": "619-722-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 6TH AVE STE 550",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921015211",
            "telephone_number": "619-722-8148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 Citracado Pkwy Ste 102",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920256428",
            "country_code": "US",
            "telephone_number": "760-294-9270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4780 155 N",
            "address_2": "STE 116 202048",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "39211",
            "country_code": "US",
            "telephone_number": "619-722-8148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALARCON",
        "first_name": "WINFRED",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-26",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT134460",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "TPMF799",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717002244",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jay@sccs.clinic",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1111 6th Ave Ste 550",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921015211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JAY",
            "last_name": "ALARCON",
            "credential": "LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.