Active NPI
Jessica Karina Marroquin
- Marriage & Family Therapist
- Thousand Oaks, CA
National Provider Identifier
1932565686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 135762
- Practice address
- 2625 Townsgate Rd
Thousand Oaks, CA 91361-5751 - Phone
- (800) 413-3009
- Fax
- (805) 413-4462
- NPI assigned
- Jan 11, 2016
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Marriage & Family Therapist | 106H00000X | 135762 | CA | Primary |
Addresses
Primary practice location
2625 Townsgate Rd
Thousand Oaks, CA 91361-5751
Mailing address
6160 Cornerstone CT E Ste 100
San Diego, CA 92121-3724
Phone (858) 216-8837
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cortica Developmental Therapies PA | Past | Accepting new patients | |
| Cortica ABA Therapies PA | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Plano, TX
- NPI 1942888508
-
- Multi-Specialty Clinic/Center
- Plano, TX
- NPI 1619554680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675123200000",
"number": "1932565686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6160 CORNERSTONE CT E STE 100",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921213724",
"telephone_number": "858-216-8837",
"fax_number": "619-941-0276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2625 TOWNSGATE RD",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913615751",
"telephone_number": "800-413-3009",
"fax_number": "805-413-4462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARROQUIN",
"first_name": "JESSICA",
"middle_name": "KARINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-11",
"last_updated": "2023-01-31",
"certification_date": "2023-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "135762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thousand Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.