JENNIFER LYNN CODEGA (NPI# 1245739507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245739507 |
| Entity Type | Individual |
| Full Name | JENNIFER LYNN CODEGA |
| Credential | LMFT |
| Practice Address |
100 W Foothill Blvd Ste 204 San Dimas CA 91773-1171 |
| Mailing Address |
100 W Foothill Blvd Ste 104 San Dimas CA 91773-1170 |
| Practice Telephone | 9094734487 |
| Practice Fax Number | 3107561225 |
| Mailing Telephone | 9095514672 |
| Mailing Fax Number | 3107561225 |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2019-02-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 103851 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7365 Carnelian St Ste 132, Rancho Cucamonga, CA 917301100 | 9095514672 | 3107561225 |
| 10737 Laurel St Ste 230, Rancho Cucamonga, CA 91730 | 9099895556 |
| Street Address |
100 W FOOTHILL BLVD STE 204 |
| City | SAN DIMAS |
| State | CA |
| Zip Code | 91773-1171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533114 | Bonita Counseling Center | Marriage & Family Therapist | 425 W. Bonita Ave., Ste 204, San Dimas, CA 91773 | 2020-09-16 |
| 1457824419 | Georgina Almaraz | Case Manager/Care Coordinator | 677 Cliffside Dr Ste 677, San Dimas, CA 91773 | 2019-01-02 |
| 1922581560 | Readirides, Inc. | Non-emergency Medical Transport (VAN) | 451 W Bonita Ave Ste 14, San Dimas, CA 91773 | 2018-09-10 |
| 1710468376 | Marianne Shehata | Dentist | 925 Avenida Loma Vista, San Dimas, CA 91773 | 2018-08-22 |
| 1750875738 | Compassionate Hearts Home Health, Inc. | Home Health | 237 W Bonita Ave Ste F, San Dimas, CA 91773 | 2018-06-21 |
| 1548786056 | Era Life Care | Home Health | 1109 W San Bernardino Rd Suite 110, Covina, CA 91773 | 2017-08-16 |
| 1700302569 | Melanie Sabrina Schmuck | Physical Therapist | 1301 West Arrow Highway, Suite 130, San Dimas, CA 91773 | 2017-08-14 |
| 1811410111 | Nicole Geraldine Skinner | Social Worker | 762 W Cypress St, San Dimas, CA 91773 | 2017-07-19 |
| 1245760842 | Caren Senn | Dietitian, Registered | 917 Laramie Drive, San Dimas, CA 91773 | 2017-06-15 |
| 1417485020 | Young Mi Kim | Acupuncturist | 1121 Via Verde, San Dimas, CA 91773 | 2017-05-25 |
| Find all providers in zip 91773 | ||||
| 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 |
|---|---|---|---|---|
| 1114533114 | Bonita Counseling Center | Marriage & Family Therapist | 425 W. Bonita Ave., Ste 204, San Dimas, CA 91773 | 2020-09-16 |
| 1588279160 | Carla Zorko | Marriage & Family Therapist | 821 Via Alameda, San Dimas, CA 91773-3920 | 2020-09-10 |
| 1770008153 | Emmaus Road Christian Counseling | Marriage & Family Therapist | 1111 W Covina Blvd Ste 120a, San Dimas, CA 91773-3205 | 2017-08-07 |
| 1023494929 | Teresa Sullivan | Marriage & Family Therapist | 100 W Foothill Blvd Ste 101, San Dimas, CA 91773-1170 | 2015-08-04 |
| 1134508476 | Elizabeth Aguilar-godinez | Marriage & Family Therapist | 300 E Bonita Ave Unit 4544, San Dimas, CA 91773-6220 | 2015-05-19 |
| 1396186250 | Amy Elizabeth Dickerson | Marriage & Family Therapist | 1305 W Arrow Hwy Ste 206, San Dimas, CA 91773 | 2013-07-08 |
| 1942551098 | Susan Highleyman | Marriage & Family Therapist | 100 W Foothill Blvd Ste 203, San Dimas, CA 91773-1171 | 2012-09-28 |
| 1902193998 | Gayle Samples | Marriage & Family Therapist | 1100 W Covina Blvd, San Dimas, CA 91773-3203 | 2011-06-29 |
| 1508164344 | April Pratt | Marriage & Family Therapist | 100 W. Foothill Bl., Suite 101, San Dimas, CA 91733 | 2011-03-02 |
| 1598074262 | Robert A Jennings | Marriage & Family Therapist | 954 N Amelia Ave Ste B, San Dimas, CA 91773-1407 | 2010-09-29 |
| Find all providers in SAN DIMAS | ||||
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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.