JACLYN ENRIQUEZ LMFT
NPI 1184943896
Marriage & Family Therapist in San Diego, CA

Q: What is Jaclyn Enriquez's NPI number?

The NPI number for Jaclyn Enriquez is 1184943896. It was assigned to this individual provider in the NPPES registry on May 19, 2010.

Q: What is Jaclyn Enriquez'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 Jaclyn Enriquez was last updated on February 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since May 19, 2010PECOS Enrolled

2865 LOGAN AVE, SAN DIEGO, CA 92113(619) 232-4357 Get Directions Write a Review

NPPES record last updated: February 16, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 16, 2019, Mar 17, 2018, Oct 28, 2017 (3 updates tracked since 2017).

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About Jaclyn Enriquez Lmft NPPES

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

JACLYN ENRIQUEZ LMFT (NPI 1184943896) is an individual marriage & family therapist in San Diego, California, licensed in California (100206) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1184943896

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameJACLYN ENRIQUEZCredential: LMFT

Location Address2865 LOGAN AVESan Diego, CA 92113-2411

Mailing Address2865 Logan AveSan Diego, CA 92113-2411 · (619) 232-4357

Phone(619) 232-4357

Sole ProprietorNo

Enumeration DateMay 19, 2010

Last NPPES UpdateFebruary 16, 20193 updates tracked since enumeration

✔ NPI 1184943896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Licenses✔ Licensed in CA · 100206✔ Licensed in CA · 69340

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

2865 LOGAN AVE, San Diego, CA 92113

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Secondary Practice Locations 2

Location 110717 Camino Ruiz, Suite 207San Diego, CA 92126-2360 · Phone (619) 695-2211

Location 21465 30th St Ste KSan Diego, CA 92154-3497 · Phone (619) 428-1000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaclyn Enriquez Lmft 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.

DIONE TAYLOR

Counselor (Mental Health)