Jerome Everette Watson Sr., LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC 48090 Issued in CA

Practice address

12180 Ridgecrest Rd Ste 402a
Victorville, CA 92395-5902

Phone

(760) 881-3558

Fax

(760) 881-3457

NPI assigned

Jun 14, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Watson Family Service

  • Marriage & Family Therapist
  • Victorville, CA
  • NPI 1831044528
  NPD Authorized official

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522800000000",
    "number": "1861787277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16333 GREEN TREE BLVD UNIT 2673",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923937108",
            "telephone_number": "909-915-4998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12180 RIDGECREST RD STE 402A",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923955902",
            "telephone_number": "760-881-3558",
            "fax_number": "760-881-3457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "JEROME",
        "middle_name": "EVERETTE",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-14",
        "last_updated": "2018-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 48090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Antoinette Washington
• Caramarie Washington
• Deirdre R Washington, LVN
• Raafat Wassef, MD
• Watson Family Service
• Miriam Watson
• Murque Shaketa Watson, LMFT
• Nyree Watson, LMFT
• Wave Physical Therapy Inc
• Waves of Life Counseling

• Marriage & Family Therapist in Victorville, CA
• Providers in Victorville, 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 Apr 4, 2018; 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.