Jeremy Mast

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

90961 Issued in CA

Practice address

3585 Maple St Ste 233
Ventura, CA 93003-9148

Phone

(805) 256-3497

NPI assigned

Apr 25, 2016

Last updated

Sep 16, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 4, 2024 through Mar 4, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Jeremy Mast, Licensed Marriage and Family Therapist, Inc.

  • Adult Mental Health Clinic/Center
  • Ventura, CA
  • NPI 1215543160
  NPD Authorized official

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1861847139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3585 MAPLE ST STE 233",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930039148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3585 MAPLE ST STE 233",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930039148",
            "telephone_number": "805-256-3497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAST",
        "first_name": "JEREMY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-25",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "90961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeremy@jeremymast.com",
            "affiliation": "N",
            "address_1": "3585 Maple St Ste 233",
            "city": "Ventura",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930039148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jerome Maryniuk, MD
• Allison Michele Marz, SLP
• Cheryl R Mason, FNP
• Irene De la Cruz Mason, P.A.-C
• Terrie Lynn Mason, RN
• Christine M Masters, MS
• Ruby Matela, PHARMD
• Ryan Matela, PHARMD
• Amber Alexa Matheson, RBT
• Mallory Anne Mathias, B.C.B.A

• Marriage & Family Therapist in Ventura, CA
• Providers in Ventura, 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 Sep 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.