JENNIFER MATHIS (NPI# 1619384989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619384989 |
| Entity Type | Individual |
| Full Name | JENNIFER MATHIS |
| Other Name | JENNIFER MARRERO |
| Credential | PH.D., LPCC |
| Practice Address |
815 Mission Ave Ste 208 Oceanside CA 92054-2841 |
| Mailing Address |
Po Box 664 Oceanside CA 92049-0664 |
| Practice Telephone | 7604969600 |
| Mailing Telephone | 7604969600 |
| Mailing Fax Number | 8584086504 |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2020-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
MHC 306 | HI | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
LPC 409 | CA | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
LPC 14506 | AZ | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | LPCC409 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 20 E Thomas Rd Fl 22, #2201, Phoenix, AZ 850123110 | 6024323200 | 6028005701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467707638 | Jennifer Denise Mathis | Military Health Care Provider | 913 Claeven Cir, Fort Walton Beach, FL 32547-4257 | 2012-07-13 |
| 1346513926 | Jennifer Z Mathis | Speech-Language Pathologist | 5603b W Friendly Ave # 274, Greensboro, NC 27410-4213 | 2012-02-13 |
| 1124303359 | Jennifer Mathis | Pharmacist | 5006 Old Hickory Blvd, Hermitage, TN 37076-2566 | 2011-10-19 |
| 1548304892 | Jennifer Mathis | Family Medicine | 1300 N 12th St Ste 608, Phoenix, AZ 85006-2850 | 2007-02-19 |
| 1548368988 | Jennifer Lynne Mathis | Counselor | 3015 E Skelly Dr, Suite 390, Tulsa, OK 74105-6317 | 2006-09-20 |
| Street Address |
815 MISSION AVE STE 208 |
| City | OCEANSIDE |
| State | CA |
| Zip Code | 92054-2841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346766581 | J.e.m. Clinical Counseling, LLC | Clinic/Center | 815 Mission Ave Ste 208, Oceanside, CA 92054-2841 | 2017-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497369987 | Crownview Telehealth Instiute LLC | Community/Behavioral Health | 315 North Clementine Street, Oceanside, CA 92054 | 2020-09-02 |
| 1992353585 | Janell Katherine Dulaney | Student in an Organized Health Care Education/Training Program | 738 S Tremont St, Oceanside, CA 92054 | 2019-08-28 |
| 1295201986 | North County Psychology Apc | Clinical Neuropsychologist | 2204 S. El Camino Real, #305, Oceanside, CA 92054 | 2018-10-19 |
| 1437638947 | Amy Joanne Buckner | Student in an Organized Health Care Education/Training Program | 2204 S El Camino Real Ste 102, Oceanside, CA 92054 | 2018-08-07 |
| 1285112458 | Alique Bedikian | Counselor | 1100 Sportfisher Dr, Oceanside, Oceanside, CA 92054 | 2018-07-31 |
| 1053809244 | Thrive Medical Specialists, A Professional Corporation | Physical Medicine & Rehabilitation | 322 N Nevada St., Oceanside, CA 92054 | 2018-04-24 |
| 1982133377 | Maegan Casanova | Psychologist | 1213 Herby Way, Oceanside, CA 92054 | 2017-06-08 |
| 1588109466 | Ryan Purvis | Counselor | 2812 Oceanside Blvd, Oceanside, CA 92054 | 2016-12-30 |
| 1629512595 | Ahi Vein and Vascular Specialists Inc A Professional Medical Corp | Clinic/Center | 2125 South El Camino Real, Suite 210, Oceanside, CA 92054 | 2016-12-13 |
| 1437531175 | Ginger Burleson | Counselor | 1110 Sportfisher Drive, Oceanside, CA 92054 | 2015-06-18 |
| Find all providers in zip 92054 | ||||
| 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 |
|---|---|---|---|---|
| 1649819996 | Katelyn Nicole Camp | Marriage & Family Therapist | 705 Pier View Way, Oceanside, CA 92054-2801 | 2020-01-03 |
| 1316586258 | Jaclyn Suzanne Hunter | Marriage & Family Therapist | 2204 S El Camino Real Ste 315, Oceanside, CA 92054-6390 | 2019-12-23 |
| 1649776055 | Jennifer L Goldenberg | Marriage & Family Therapist | 24 Strangford Ct, Oceanside, NY 11572-5238 | 2018-04-04 |
| 1972025237 | North County Lesbian Gay Bisexual Transgender Questioning Resource Cen | Marriage & Family Therapist | 3220 Mission Ave Ste 2, Oceanside, CA 92058-1354 | 2017-07-07 |
| 1851743330 | Peter Martin | Marriage & Family Therapist | 2170 S El Camino Real # 217, Oceanside, CA 92054-6203 | 2016-07-07 |
| 1609221852 | Emily Irene Orme | Marriage & Family Therapist | 1132 Brighton Dr, Oceanside, CA 92056-6460 | 2016-04-25 |
| 1407212665 | Yolanda Orozco Gaeta | Marriage & Family Therapist | 3923 Waring Road Ste D, North Coastal Treatment Recovery Center, Oceanside, CA 92056 | 2016-01-04 |
| 1407225899 | Mcalister Institute for Treatment & Education, Inc. | Marriage & Family Therapist | 3131 Oceanside Blvd, Room 1, Oceanside, CA 92056-2701 | 2015-09-16 |
| 1962894477 | Patricia Wansley Taylor | Marriage & Family Therapist | 2204 S El Camino Real Ste 205, Oceanside, CA 92054-6389 | 2015-02-21 |
| 1780089722 | Jennifer Sterling | Marriage & Family Therapist | 516 S The Strand Unit B, Oceanside, CA 92054-2916 | 2014-11-04 |
| Find all providers in OCEANSIDE | ||||
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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.