MRS. JACQUELINE ROSE GUTIERREZ MS, LMFT 122964
NPI 1093247025
Marriage & Family Therapist in Santa Fe Springs, CA

Q: What is Jacqueline Gutierrez's NPI number?

The NPI number for Jacqueline Gutierrez is 1093247025. It was assigned to this individual provider in the NPPES registry on March 29, 2017.

Q: What is Jacqueline Gutierrez's specialty?

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

Active since March 29, 2017PECOS Enrolled

11731 TELEGRAPH RD STE K, SANTA FE SPRINGS, CA 90670(626) 802-8247(626) 967-6027 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 15, 2022, Feb 10, 2021, Oct 9, 2019 and 1 more (4 updates tracked since 2017).

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About Mrs. Jacqueline Rose Gutierrez Ms, Lmft 122964 NPPES

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

MRS. JACQUELINE ROSE GUTIERREZ MS, LMFT 122964 (NPI 1093247025) is an individual marriage & family therapist in Santa Fe Springs, California, licensed in California (LMFT122964) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093247025

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMRS. JACQUELINE ROSE GUTIERREZCredential: MS, LMFT 122964

Location Address11731 TELEGRAPH RD STE KSanta Fe Springs, CA 90670-6815

Mailing Address11731 Telegraph Rd Ste KSanta Fe Springs, CA 90670-6815 · (626) 802-8247

Phone(626) 802-8247

Fax(626) 967-6027

Sole ProprietorYes

Enumeration DateMarch 29, 2017

Last NPPES UpdateMarch 21, 20244 updates tracked since enumeration

NPPES CertifiedMarch 21, 2024

✔ NPI 1093247025 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 · LMFT122964

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.

11731 TELEGRAPH RD STE K, Santa Fe Springs, CA 90670

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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)

Mrs. Jacqueline Rose Gutierrez Ms, Lmft 122964 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 20

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

JACQUELINE D JAUREGUI

Social Worker (Clinical)