Active NPI
Mylene Grace Villanueva Jasmin
- Marriage & Family Therapist
- West Covina, CA
National Provider Identifier
1962000984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 151192
- Practice address
- 851 S Sunset Ave Apt 98
West Covina, CA 91790-5542 - Phone
- (626) 869-8525
- NPI assigned
- Oct 12, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 151192 | CA | Primary |
| Marriage & Family Therapist | 106H00000X | 120427 | CA | |
| Mental Health Counselor | 101YM0800X | AMFT120427 | CA |
Addresses
Primary practice location
851 S Sunset Ave Apt 98
West Covina, CA 91790-5542
Mailing address
13630 Foster Ave Apt 34
Baldwin Park, CA 91706-4846
Phone (626) 869-8525
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7708 | Other | CA | MEDICAL |
| 7184 | Other | CA | MEDICAL |
| 7368 | Other | CA | MEDICAL |
| 7667 | Other | CA | MEDICAL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AMFT120427 | CA | MD | Mental Health Counselor |
| 120427 | CA | MD | Social Worker |
| 151192 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matters of the Heart Counseling Centers, a Marriage & Family Therapy Corproation | Marriage & Family Therapist | Past | Accepting new patients |
| Institute for the Redesign of Learning | Mental Health | Past | Accepting new patients |
| Institute for the Redesign of Learning | Mental Health | Past | Accepting new patients |
Organizations & group practices 3
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
- Commerce, CA
- NPI 1003036641
Mental Health
-
- Marriage & Family Therapist
- South Pasadena, CA
- NPI 1124212295
Mental Health
-
- Marriage & Family Therapist
- San Leandro, CA
- NPI 1194205799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762214400000",
"number": "1962000984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13630 FOSTER AVE APT 34",
"city": "BALDWIN PARK",
"state": "CA",
"postal_code": "917064846",
"telephone_number": "626-869-8525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "851 S SUNSET AVE APT 98",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917905542",
"telephone_number": "626-869-8525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JASMIN",
"first_name": "MYLENE GRACE",
"middle_name": "VILLANUEVA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-12",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "151192",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "120427",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "AMFT120427",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL",
"identifier": "7708",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL",
"identifier": "7184",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL",
"identifier": "7368",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL",
"identifier": "7667",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.