JENNIFER M CARRILLO (NPI# 1902284425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902284425 |
| Entity Type | Individual |
| Full Name | JENNIFER M CARRILLO |
| Credential | LMFT |
| Practice Address |
415 W Foothill Blvd Ste 232 Claremont CA 91711-2779 |
| Mailing Address |
Po Box 933 Claremont CA 91711-0933 |
| Practice Telephone | 9092247138 |
| Enumeration Date | 2015-05-16 |
| Last Update Date | 2019-10-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | LMFT109140 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5150 E Pacific Coast Hwy, Suite 100, Long Beach, CA 908043312 | 5624907600 | 5624907601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457583 | Jennifer Carrillo | Behavior Technician | 1682 Virginia Ave Apt 1, San Jose, CA 95116-2944 | 2020-11-04 |
| 1053979542 | Jennifer M Carrillo | Student in an Organized Health Care Education/Training Program | 333 S Beaudry Ave, Los Angeles, CA 90017-1466 | 2019-05-30 |
| 1700215217 | Jennifer Lyne Carrillo | Behavioral Analyst | 5762 Bolsa Ave, Suite 101, Huntington Beach, CA 92649-1172 | 2013-11-05 |
| 1922348929 | Jennifer Marie Carrillo | Case Manager/Care Coordinator | 10428 Lower Azusa Rd, El Monte, CA 91731-1208 | 2013-02-27 |
| 1902186828 | Jennifer Lisseth Carrillo | Marriage & Family Therapist | 10929 South St, Suite 208b, Cerritos, CA 90703-5340 | 2011-08-23 |
| 1548223209 | Jennifer Carrillo | Specialist/Technologist | 1 University Dr, Athletic Department, Aliso Viejo, CA 92656-8081 | 2006-04-11 |
| Street Address |
415 W FOOTHILL BLVD STE 232 |
| City | CLAREMONT |
| State | CA |
| Zip Code | 91711-2779 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659919132 | Suzanne Kathryn Wen | Physical Therapist | 224 North Indian Hill Bvld, Claremont, CA 91711 | 2019-12-16 |
| 1336790690 | Angelita M Sherzada | Social Worker | 250 W. First Street, 242, Claremont, CA 91711 | 2019-09-26 |
| 1629560602 | Patricia L Sellers | Marriage & Family Therapist | 220 S Indian Hill Boulevard, Suite E, Claremont, CA 91711 | 2018-06-05 |
| 1477078418 | Geiselia Thomas | Chore Provider | 519 Martin Way, Claremont, CA 91711 | 2017-08-10 |
| 1750804464 | Vasudavan Govindasamy | Speech-Language Pathologist | 1490 North Claremont Blvd Suite 101, Claremont, CA 91711 | 2017-07-25 |
| 1669850103 | Drpaulolivera | Dentist | 450wsanjose, Claremont, CA 91711 | 2015-05-18 |
| 1003204504 | Alexandra Jordan Bandy | Nurse Practitioner | 530 W. Bonita Ave, Claremont, CA 91711 | 2015-01-06 |
| 1437571379 | Susan Clayton Zylstra | Speech-Language Pathologist | 842 Knox Place, Claremont, CA 91711 | 2014-01-13 |
| 1255671053 | Misty Anne Rogers | Acupuncturist | 689 W. Foothill Blvd., Suite D, Claremont, CA 91711 | 2013-02-15 |
| 1629364161 | Lu Tian | Acupuncturist | 250 W. First Street #112, Claremont, CA 91711 | 2011-06-23 |
| Find all providers in zip 91711 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730712340 | Psychological Consulting Services, Inc. | Marriage & Family Therapist | 237 W 4th St, Claremont, CA 91711-4710 | 2020-02-21 |
| 1629560602 | Patricia L Sellers | Marriage & Family Therapist | 220 S Indian Hill Boulevard, Suite E, Claremont, CA 91711 | 2018-06-05 |
| 1295242436 | Christy Price | Marriage & Family Therapist | 219 N Indian Hill Blvd Ste 101, Claremont, CA 91711-4644 | 2018-01-09 |
| 1497271274 | Rocio Garcia Reyes | Marriage & Family Therapist | 630 S Indian Hill Blvd Ste 2, Claremont, CA 91711-5461 | 2017-08-14 |
| 1851839773 | Erica Castellanos | Marriage & Family Therapist | 428 Harrison Ave # 101, Claremont, CA 91711-4605 | 2017-02-11 |
| 1699182774 | Matthew Patrick Proulx | Marriage & Family Therapist | 1448 Morton Cir Apt D, Claremont, CA 91711-5737 | 2014-07-21 |
| 1760784300 | Heather Devine | Marriage & Family Therapist | 250 W 1st St Ste 230, Claremont, CA 91711-4744 | 2010-12-02 |
| 1306147558 | Marianne Donadee | Marriage & Family Therapist | 630 W Bonita Ave, #8e, Claremont, CA 91711-4515 | 2010-11-04 |
| 1407171572 | Sarah Wood | Marriage & Family Therapist | 250 W 1st St Ste 214, Claremont, CA 91711-4743 | 2010-04-01 |
| 1922338722 | The Clinebell Institute | Marriage & Family Therapist | 1325 North College Avenue, 3rd Floor Butler Building, Claremont, CA 91711-3154 | 2009-12-30 |
| Find all providers in CLAREMONT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.