JUSTINE ANN MIRANDA BALTRUS M.A.
NPI 1285040709
Marriage & Family Therapist in San Diego, CA

Active since July 03, 2014PECOS Enrolled
1666 PRECISION PARK LN, SAN DIEGO, CA 92173(619) 662-4100 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2025, Jul 21, 2022, May 16, 2017 and 1 more (4 updates tracked since 2015).

About Justine Ann Miranda Baltrus M.a. NPPES

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

JUSTINE ANN MIRANDA BALTRUS M.A. (NPI 1285040709) is an individual marriage & family therapist in San Diego, California and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1285040709
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJUSTINE ANN MIRANDA BALTRUSCredential: M.A.
Location Address1666 PRECISION PARK LNSan Diego, CA 92173-1346
Mailing Address2141 Honey Dr Apt 99San Diego, CA 92139-2147 · (619) 906-0141
Sole ProprietorNo
Enumeration DateJuly 3, 2014
Last NPPES UpdateMay 16, 20254 updates tracked since enumeration
NPPES CertifiedMay 16, 2025
NPI 1285040709 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
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 · License IMF88506 (CA)
1666 PRECISION PARK LN, San Diego, CA 92173

Secondary Practice Location 1

Location 14125 Alpha St Ste E-GSan Diego, CA 92113-4553 · Phone (619) 266-0166

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Justine Ann Miranda Baltrus M.a. 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.

Clinic/Center (Adolescent and Children Mental Health)
1666 PRECISION PARK LN
SAN DIEGO, CA 92173
Counselor
1666 PRECISION PARK LN
SAN YSIDRO, CA 92173
Family Medicine
1666 PRECISION PARK LN
SAN YSIDRO, CA 92173
Social Worker (Clinical)
1666 PRECISION PARK LN
SAN YSIDRO, CA 92173
Nurse Practitioner (Family)
1666 PRECISION PARK LN
SAN YSIDRO, CA 92173
Clinic/Center (Federally Qualified Health Center (FQHC))
1666 PRECISION PARK LN
SAN DIEGO, CA 92173
Psychiatry & Neurology (Psychiatry)
1666 PRECISION PARK LN
SAN YSIDRO, CA 92173
Marriage & Family Therapist
1666 PRECISION PARK LN
SAN DIEGO, CA 92173

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 Justine Ann Baltrus's NPI number?

The NPI number for Justine Ann Baltrus is 1285040709. It was assigned to this individual provider in the NPPES registry on July 3, 2014.

Where is Justine Ann Baltrus located?

Justine Ann Baltrus practices at 1666 Precision Park Ln, San Diego, CA 92173. The listed phone number is (619) 662-4100.

What is Justine Ann Baltrus's specialty?

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

Is Justine Ann Baltrus enrolled in Medicare?

Yes. Justine Ann Baltrus is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Justine Ann Baltrus was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.