Individual provider Active NPI

Jessica Lynn York

  • Marriage & Family Therapist
  • Northridge, CA
National Provider Identifier
1871190611
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
142283 Issued in CA
Practice address
9003 Reseda Blvd Ste 100
Northridge, CA 91324-6513
Phone
(818) 465-9368
NPI assigned
Oct 5, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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
Marriage & Family Therapist 106H00000X 142283 CA Primary

Addresses

Primary practice location

9003 Reseda Blvd Ste 100
Northridge, CA 91324-6513

Mailing address

315 Arden Ave Ste 1
Glendale, CA 91203-1191
Phone (972) 890-5496

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
142283CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
York Therapy Services Marriage & Family Therapist Current Accepting new patients
Topanga Roscoe Corporation Mental Health PastSince Oct 11, 2020 Accepting new patients
Therapy Today Licensed Marriage and Family Therapy Inc Past Accepting new patients

Locations

315 Arden Ave
Ste 1
Glendale, CA 91203
Phone (818) 287-0300

Organizations & group practices 3

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": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1871190611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 ARDEN AVE STE 1",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031191",
            "telephone_number": "972-890-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9003 RESEDA BLVD STE 100",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913246513",
            "telephone_number": "818-465-9368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YORK",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-05",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "142283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

Verify at the official NPI Registry.