Individual provider Active NPI

Jessica Mathon, LMFT

  • Marriage & Family Therapist
  • San Juan Capistrano, CA
National Provider Identifier
1902299563
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
84884 Issued in CA
Practice address
27128 Paseo Espada Ste A1522
San Juan Capistrano, CA 92675-6708
Phone
(323) 806-6675
NPI assigned
Mar 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 84884 CA Primary

Addresses

Primary practice location

27128 Paseo Espada Ste A1522
San Juan Capistrano, CA 92675-6708

Mailing address

27128 Paseo Espada Ste A1522
San Juan Capistrano, CA 92675-6708
Phone (323) 806-6675

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
I20240322000171 CA Practitioner - Marriage and Family Therapist 1456798008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Walk Intuit IncGroup PAC ID 0547607194, 3 clinicians

Practice addresses (Care Compare)

27128 Paseo Espada
Suite A1522
San Juan Capistrano, CA 92675-6708
Phone (323) 806-6675

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
84884CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walk Intuit Inc. CurrentSince Jan 19, 2024 Accepting new patients

Locations

27128 Paseo Espada
Ste 1522A
San Juan Capistrano, CA 92675
Phone (323) 806-6675

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": "1425600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1902299563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27128 PASEO ESPADA STE A1522",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926756708",
            "telephone_number": "323-806-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27128 PASEO ESPADA STE A1522",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926756708",
            "telephone_number": "323-806-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHON",
        "first_name": "JESSICA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-06",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "84884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan Capistrano, CA

Sources for this page

Verify at the official NPI Registry.