Jennifer Lynn Lundy-Aguerre, LICENSED MARRIAGE AN

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC42025 Issued in CA

Practice address

5480 Baltimore Drive
Suite 250
La Mesa, CA 91942

Phone

(619) 733-6414

Fax

(619) 303-3306

NPI assigned

Oct 5, 2006

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

• Ms. Jennifer Lynn Lundy Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

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.

• Jennifer Lundy Family Therapy, Inc.

  • Clinical Psychologist
  • La Mesa, CA
  • NPI 1427320605

  Marriage & Family Therapist

  NPD (past) Authorized official

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318896000000",
    "number": "1891881793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5480 BALTIMORE DRIVE",
            "address_2": "SUITE 250",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "91942",
            "telephone_number": "619-733-6414",
            "fax_number": "619-303-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5480 BALTIMORE DRIVE",
            "address_2": "SUITE 250",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "91942",
            "telephone_number": "619-733-6414",
            "fax_number": "619-303-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDY-AGUERRE",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LICENSED MARRIAGE AN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2011-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "42025",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC42025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "LUNDY",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "LICENSED MARRIAGE AN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Joy Luckey, M.S.
• Neal Andrew Luecking, RN
• Adrian Alexandro Lugo, RDHAP
• Donica Thi Lukas
• Wendy Nayeli Luna Garcia
• Pam E Luschei, MFT
• Luxottica of America Inc
• Sean Thomas Lynch, PA-C
• Jesse Lyon, M.D.
• Lyons Billing Solutions LLC

• Marriage & Family Therapist in La Mesa, CA
• Providers in La Mesa, 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 18, 2011; 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.