Individual provider Active NPI

Jennifer Anne Palisoc, LMFT

  • Marriage & Family Therapist
  • Irvine, CA
National Provider Identifier
1841706017
Registry record updated Oct 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
132715 Issued in CA
Practice address
7545 Irvine Center Dr Ste 200
Irvine, CA 92618-2933
Phone
(949) 534-2367
NPI assigned
Dec 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X 109426 CA
Marriage & Family Therapist 106H00000X 132715 CA Primary

Addresses

Primary practice location

7545 Irvine Center Dr Ste 200
Irvine, CA 92618-2933

Mailing address

6203 Payton
Irvine, CA 92620-3486
Phone (949) 300-4590

Other practice location 1

200 E Katella Ave
Orange, CA 92867-4804
Phone (714) 547-6494

Other practice location 2

1207 E Fruit St
Santa Ana, CA 92701-4206
Phone (888) 686-3100

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
132715CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Open-Hearted Family Therapy Inc Marriage & Family Therapist Current Accepting new patients
Mariposa Women and Family Center PastSince Aug 1, 2019 Accepting new patients

Locations

7545 Irvine Center Dr
Ste 200
Irvine, CA 92618
Phone (949) 503-5112

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1513987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665187200000",
    "number": "1841706017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6203 PAYTON",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926203486",
            "telephone_number": "949-300-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7545 IRVINE CENTER DR STE 200",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182933",
            "telephone_number": "949-534-2367"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 E Katella Ave",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928674804",
            "country_code": "US",
            "telephone_number": "714-547-6494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1207 E Fruit St",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927014206",
            "country_code": "US",
            "telephone_number": "888-686-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALISOC",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-23",
        "last_updated": "2022-10-08",
        "certification_date": "2022-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "109426",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "132715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2022; 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.