JACQUELINE VARGAS
NPI 1104221142
Marriage & Family Therapist in Los Angeles, CA

Q: What is Jacqueline Vargas's NPI number?

The NPI number for Jacqueline Vargas is 1104221142. It was assigned to this individual provider in the NPPES registry on November 4, 2014.

Q: What is Jacqueline Vargas's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Vargas was last updated on May 21, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 04, 2014PECOS Enrolled

3200 MOTOR AVE, LOS ANGELES, CA 90034(310) 836-1223 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 21, 2021, Apr 25, 2019, Jan 8, 2018 and 2 more (5 updates tracked since 2016).

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About Jacqueline Vargas NPPES

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

JACQUELINE VARGAS (NPI 1104221142) is an individual marriage & family therapist in Los Angeles, California, licensed in California (LMFT112969) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1104221142

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameJACQUELINE VARGAS

Location Address3200 MOTOR AVELos Angeles, CA 90034-3710

Mailing Address6931 Van Nuys Blvd Ste 102Van Nuys, CA 91405-3980 · (818) 376-0134

Phone(310) 836-1223

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateNovember 4, 2014

Last NPPES UpdateMay 21, 20215 updates tracked since enumeration

NPPES CertifiedMay 21, 2021

✔ NPI 1104221142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Licenses✔ Licensed in CA · LMFT112969✔ Licensed in CA · IMF71331✔ Licensed in CA · AMFT71331✔ Licensed in CA · 112969

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.

3200 MOTOR AVE, Los Angeles, CA 90034

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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)

Jacqueline Vargas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224526793

PECOS Enrollment IDI20251024003341

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.