JENNIFER LUNDY FAMILY THERAPY, INC. (NPI# 1427320605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427320605 |
| Entity Type | Organization |
| Organization Name | JENNIFER LUNDY FAMILY THERAPY, INC. |
| Other Organization Name | POSITIVE CHANGE COUNSELING CENTER |
| Practice Address |
5480 Baltimore Dr Ste 250 La Mesa CA 91942-2066 |
| Practice Telephone | 6197336414 |
| Practice Fax Number | 6193033306 |
| Mailing Telephone | 6197336414 |
| Mailing Fax Number | 6193033306 |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2014-03-12 |
| Authorized Official Name | JENNIFER LYNN LUNDY-AGUERRE (OWNER) |
| Authorized Official Telephone | 6197336414 |
| Authorized Official Credential | MFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106H00000X | Marriage & Family Therapist | 42025 | CA | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
21402 | CA | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Positive Change Counseling Center | Doing Business As Name - Organization |
| Street Address |
5480 BALTIMORE DR STE 250 |
| City | LA MESA |
| State | CA |
| Zip Code | 91942-2066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538594270 | Angela Robertson | Massage Therapist | 5480 Baltimore Dr Ste 250, La Mesa, CA 91942-2066 | 2013-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453723 | Nicole V Zappelli | Case Manager/Care Coordinator | 4990 William Ave., La Mesa, CA 91942 | 2019-08-26 |
| 1770059834 | Natalie Ngoc Nguyen | Physician Assistant | 5555 Grosmont Center Dr., La Mesa, CA 91942 | 2018-10-16 |
| 1194204297 | Courtney Pietsch | Nurse Practitioner | 8851 Health Center Circle, Suite #603, La Mesa, CA 91942 | 2018-08-09 |
| 1295214773 | Megan Gordon | Behavior Technician | 6116 Horton Dr, La Mesa, CA 91942 | 2018-08-07 |
| 1356836548 | Kimberly Denise Davis | Counselor | 3845 Avocado School Road, El Cajon, CA 91942 | 2018-06-29 |
| 1366932113 | Melanie Joyce Shepard | Physician Assistant | 7051 Alvarado Road, Suite 201, La Mesa, CA 91942 | 2018-05-17 |
| 1871013532 | Low Dental, A.p.c. | Public Health or Welfare | 7872 La Mesa Blvd., La Mesa, CA 91942 | 2017-06-23 |
| 1275069437 | Ardel Ayala | Respiratory Therapist, Registered | 5800 Lake Murray Blvd. Unit 15, La Mesa, CA 91942 | 2017-05-10 |
| 1285007583 | Counseling & Behavioral Specialists | Marriage & Family Therapist | 5520 Wellesley Street, Ste 204, La Mesa, CA 91942 | 2015-11-09 |
| 1285001875 | Emily Shozaki Rizo | Nurse Practitioner | 6285 Meadowcrest Drive, La Mesa, CA 91942 | 2015-08-31 |
| Find all providers in zip 91942 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568919983 | Grace Counseling & Psychotherapy Inc. | Psychologist | 5575 Lake Park Way Ste 100-6, La Mesa, CA 91942-1664 | 2016-09-01 |
| 1093122608 | John Robert-clyde Helmer | Psychologist | 5360 Jackson Dr Ste 220-c, La Mesa, CA 91942 | 2014-07-15 |
| 1841541984 | Bruce L. Thiessen | Psychologist | 8360 University Ave, La Mesa, CA 91942-9374 | 2012-09-28 |
| 1700080132 | Margaret Ann Edel | Psychologist | 7589 El Cajon Blvd, La Mesa, CA 91942-7695 | 2007-06-11 |
| 1124169347 | John S. Bartholow, Ph.d A Psychological Corp. | Psychologist | 7777 Alvarado Rd # 278, La Mesa, CA 91941-3616 | 2007-02-09 |
| 1063569135 | Stacy Kim Johnston | Psychologist | 4730 Palm Ave, 202, La Mesa, CA 91941-5266 | 2007-01-04 |
| 1922194703 | James L. Bull | Psychologist | 8787 Center Drive, La Mesa, CA 91942-3034 | 2006-10-05 |
| 1366464810 | William Loughman Higgins | Psychologist | 3643 Nereis Dr, La Mesa, CA 91941-8012 | 2006-07-24 |
| 1134148448 | Jay Alperson | Psychologist | 8029 La Mesa Blvd, La Mesa, CA 91941-6434 | 2006-07-18 |
| 1154346070 | Georges Alexandre Tichy | Psychologist | 8787 Center Dr, La Mesa, CA 91942-3034 | 2006-07-13 |
| Find all providers in LA MESA | ||||
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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.