Active NPI
Jamila Mahfudh, LMFT
- Marriage & Family Therapist
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 99405
- Practice address
- 2231 Camino del Rio S Ste 308
San Diego, CA 92108-3612 - Phone
- (858) 848-9362
- NPI assigned
- Jan 16, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Marriage & Family Therapist | 106H00000X | 99405 | CA | Primary |
Addresses
Primary practice location
2231 Camino del Rio S Ste 308
San Diego, CA 92108-3612
Mailing address
10174 Austin Dr Unit 2181
Spring Valley, CA 91979-7049
Phone (858) 848-9362
Other practice location 1
3636 Fifth Ave Ste 103
San Diego, CA 92103-4230
Phone (858) 848-9362
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 25, 2024 through Jun 25, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 99405 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resilience Within Family Counseling, Inc. | Marriage & Family Therapist | Current | Accepting new patients |
Locations
2231 Camino del Rio S
Ste 308
San Diego, CA 92108
Phone (619) 281-5521
3636 5th Ave
Ste 103
San Diego, CA 92103
Phone (619) 394-9452
10174 Austin Dr
Unit 2181
Spring Valley, CA 91979
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.
-
- Marriage & Family Therapist
- San Diego, CA
- NPI 1427634666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694044800000",
"number": "1902228521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10174 AUSTIN DR UNIT 2181",
"city": "SPRING VALLEY",
"state": "CA",
"postal_code": "919797049",
"telephone_number": "858-848-9362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2231 CAMINO DEL RIO S STE 308",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921083612",
"telephone_number": "858-848-9362"
}
],
"practiceLocations": [
{
"address_1": "3636 Fifth Ave Ste 103",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921034230",
"country_code": "US",
"telephone_number": "858-848-9362",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAHFUDH",
"first_name": "JAMILA",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-16",
"last_updated": "2023-09-07",
"certification_date": "2023-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "99405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.