Individual provider Active NPI

Jeanine Aime Monterroza, AMFT

  • Marriage & Family Therapist
  • Pasadena, CA
National Provider Identifier
1861967192
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
128697 Issued in CA
Practice address
595 E Colorado Blvd Ste 205
Pasadena, CA 91101-2028
Phone
(888) 382-7372
NPI assigned
Oct 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 109316 CA
Marriage & Family Therapist 106H00000X 128697 CA Primary

Addresses

Primary practice location

595 E Colorado Blvd Ste 205
Pasadena, CA 91101-2028

Mailing address

2109 Chickasaw Ave
Los Angeles, CA 90041-1904
Phone (323) 627-1469

Other practice location 1

2109 Chickasaw Ave
Los Angeles, CA 90041-1904
Phone (323) 627-1469

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251028001292 CA Practitioner - Marriage and Family Therapist 0840788345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

595 E Colorado Blvd
Suite 205
Pasadena, CA 91101-2028
Phone (909) 900-6746

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
128697CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Monterroza Marriage and Family Therapy Inc Marriage & Family Therapist CurrentSince Aug 25, 2025 Accepting new patients

Locations

595 E Colorado Blvd
Ste 205
Pasadena, CA 91101
Phone (626) 214-5308

Organizations & group practices 1

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": "1539388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1861967192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 CHICKASAW AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411904",
            "telephone_number": "323-627-1469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 E COLORADO BLVD STE 205",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012028",
            "telephone_number": "888-382-7372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2109 Chickasaw Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900411904",
            "country_code": "US",
            "telephone_number": "323-627-1469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTERROZA",
        "first_name": "JEANINE",
        "middle_name": "AIME",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-13",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "109316",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "128697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.