Active NPI
Jacqueline Mayrand, M.A., MFT
- Marriage & Family Therapist
- Eureka, CA
National Provider Identifier
1861528697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 51874
- Practice address
- 837 3Rd St
Eureka, CA 95501-0511 - Phone
- (707) 441-1053
- NPI assigned
- Feb 26, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 51874 | CA | Primary |
Addresses
Primary practice location
837 3Rd St
Eureka, CA 95501-0511
Mailing address
837 3Rd St
Eureka, CA 95501-0511
Phone (707) 441-1053
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397779200000",
"number": "1861528697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "837 3RD ST",
"city": "EUREKA",
"state": "CA",
"postal_code": "955010511",
"telephone_number": "707-441-1053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "837 3RD ST",
"city": "EUREKA",
"state": "CA",
"postal_code": "955010511",
"telephone_number": "707-441-1053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYRAND",
"first_name": "JACQUELINE",
"credential": "M.A., MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-26",
"last_updated": "2014-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "51874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.