Individual provider Active NPI

Jackie Rittenhouse, LMFT

  • Marriage & Family Therapist
  • Camarillo, CA
National Provider Identifier
1972600617
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC40010 Issued in CA
Practice address
155 Granada St
Suite P
Camarillo, CA 93010-7725
Phone
(805) 216-6445
Fax
(805) 388-9455
NPI assigned
Sep 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MFC40010 CA Primary

Addresses

Primary practice location

155 Granada St
Suite P
Camarillo, CA 93010-7725

Mailing address

2091 Baja Vista Way
Camarillo, CA 93010-9281
Phone (805) 987-3921

Other names 1

  • Jacqueline Rittenhouse Other name

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

LicenseStateTypeSpecialty
MFC40010CAMDMarriage & Family Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972600617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2091 BAJA VISTA WAY",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930109281",
            "telephone_number": "805-987-3921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 GRANADA ST",
            "address_2": "SUITE P",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930107725",
            "telephone_number": "805-216-6445",
            "fax_number": "805-388-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITTENHOUSE",
        "first_name": "JACKIE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC40010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "RITTENHOUSE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.