Jaquelynn Renate Flietstra

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

148173 Issued in CA

Practice address

41880 Kalmia St Ste 115
Murrieta, CA 92562-8835

Phone

(951) 430-3011

NPI assigned

Apr 15, 2021

Last updated

Oct 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jaquelynn Renate Zeeb Former name

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

Specialty

Marriage and Family Therapist

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Rancho Family Medical Group IncGroup PAC ID 6305741240, 112 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Rancho Family Medical Group, Inc.

  dba Platinum Women's Health and Wellness

  • Family Medicine Physician
  • Temecula, CA
  • NPI 1598791600
  Medicare reassignment Care Compare group NPD
• Inland Empire Marriage Counseling

  • Marriage & Family Therapist
  • Riverside, CA
  • NPI 1134858020
  NPD (past)

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1881275402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41880 KALMIA ST STE 115",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925628835",
            "telephone_number": "951-430-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41880 KALMIA ST STE 115",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925628835",
            "telephone_number": "951-430-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLIETSTRA",
        "first_name": "JAQUELYNN",
        "middle_name": "RENATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-15",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "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": "148173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAQUELYNN",
            "last_name": "ZEEB",
            "middle_name": "RENATE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mindy Marie Fitzpatrick, MSN, RN, PHN
• FJS Hearing Professionals (Miracle-Ear)
• Kevin G Flaig, M.D.
• Cameron Gregory William Flamer
• Nicole Diane Fliear, LCSW
• Kristy Floren
• Jordan Sierra Florence
• Guadalupe Flores Acosta
• Cecilia Cristina Flores-Castillo
• Marcela Flores-Lopez

• Marriage & Family Therapist in Murrieta, CA
• Providers in Murrieta, 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 Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.