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JENNIFER ANNE GORDILLO
NPI 1023484292
Marriage & Family Therapist in San Bernardino, CA

Active since August 11, 2015PECOS Enrolled
325 W HOSPITALITY LN STE 312, SAN BERNARDINO, CA 92408(866) 205-3595 Get Directions Write a Review

NPPES record last updated: December 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer Anne Gordillo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER ANNE GORDILLO (NPI 1023484292) is an individual marriage & family therapist in San Bernardino, California, licensed in California (IMF75155) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023484292
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJENNIFER ANNE GORDILLO
Location Address325 W HOSPITALITY LN STE 312San Bernardino, CA 92408-3212
Mailing Address325 W Hospitality Ln Ste 312San Bernardino, CA 92408-3212 · (866) 205-3595
Phone(866) 205-3595
Sole ProprietorYes
Enumeration DateAugust 11, 2015
Last NPPES UpdateDecember 28, 2021
NPPES CertifiedDecember 17, 2021
✔ NPI 1023484292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · IMF75155
Definition
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.
325 W HOSPITALITY LN STE 312, San Bernardino, CA 92408
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Anne Gordillo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. SIGRID MARIE ALICEA LMFT
Marriage & Family Therapist
325 W HOSPITALITY LN STE 312
SAN BERNARDINO, CA 92408
San Bernardino County (866) 205-3595
BRENDA PATRICIA MELGOZA M.S
Marriage & Family Therapist
325 W HOSPITALITY LN STE 312
SAN BERNARDINO, CA 92408
San Bernardino County (866) 205-3595
MR. ADAM EMRICH GORT LCSW
Social Worker (Clinical)
325 W HOSPITALITY LN STE 312
SAN BERNARDINO, CA 92408
San Bernardino County (866) 205-3595
ANDREW JACOB GODOY
Social Worker
325 W HOSPITALITY LN STE 312
SAN BERNARDINO, CA 92408
San Bernardino County (866) 205-3595
MARI LILY FLORES LCSW
Social Worker (Clinical)
325 W HOSPITALITY LN STE 312
SAN BERNARDINO, CA 92408
San Bernardino County (866) 205-3595
TANISHA FLOWERS M.S.
Marriage & Family Therapist
325 W HOSPITALITY LN STE 312
SAN BERNARDINO, CA 92408
San Bernardino County (760) 961-6631
IRENE BERNAL LMFT
Marriage & Family Therapist
325 W HOSPITALITY LN STE 312
SAN BERNARDINO, CA 92408
San Bernardino County (866) 205-3595
JANICE D AGDIGOS LMFT
Marriage & Family Therapist
325 W HOSPITALITY LN STE 312
SAN BERNARDINO, CA 92408
San Bernardino County (866) 205-3595

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Gordillo's NPI number?

The NPI number for Jennifer Gordillo is 1023484292. It was assigned to this individual provider in the NPPES registry on August 11, 2015.

Where is Jennifer Gordillo located?

Jennifer Gordillo practices at 325 W Hospitality Ln Ste 312, San Bernardino, CA 92408. The listed phone number is (866) 205-3595.

What is Jennifer Gordillo's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Jennifer Gordillo enrolled in Medicare?

Yes. Jennifer Gordillo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Gordillo was last updated on December 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.