Individual provider Active NPI

Jennifer Nichole Flores, M.ED., M.S., LMFT

  • Marriage & Family Therapist
  • Burbank, CA
National Provider Identifier
1922401553
Registry record updated Jan 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
92351 Issued in CA
Practice address
4421 W Riverside Dr Ste 102
Burbank, CA 91505-4051
Phone
(818) 748-8818
NPI assigned
Sep 26, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2019

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 92351 CA Primary

Addresses

Primary practice location

4421 W Riverside Dr Ste 102
Burbank, CA 91505-4051

Mailing address

4421 W Riverside Dr Ste 102
Burbank, CA 91505-4051
Phone (818) 351-5017

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education, Master of Science

State licenses

LicenseStateTypeSpecialty
92351CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Interior Design Firm - a Psychotherapy Practice Inc Current Accepting new patients

Locations

4421 W Riverside Dr
Ste 102
Burbank, CA 91505
Phone (818) 699-0907

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": "1411689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548460800000",
    "number": "1922401553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4421 W RIVERSIDE DR STE 102",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054051",
            "telephone_number": "818-351-5017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4421 W RIVERSIDE DR STE 102",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054051",
            "telephone_number": "818-748-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "JENNIFER",
        "middle_name": "NICHOLE",
        "credential": "M.ED., M.S., LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-26",
        "last_updated": "2019-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "92351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.