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JESSICA GHOLSON MFT INTERN
NPI 1356466965
Marriage & Family Therapist in Lake View Terrace, CA

Active since March 20, 2007PECOS Enrolled
11600 ELDRIDGE AVE, LAKE VIEW TERRACE, CA 91342(818) 686-3000 Get Directions Write a Review

NPPES record last updated: August 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Gholson Mft Intern NPPES

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

JESSICA GHOLSON MFT INTERN (NPI 1356466965) is an individual marriage & family therapist in Lake View Terrace, California, licensed in California (48917) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356466965
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJESSICA GHOLSONCredential: MFT INTERN
Location Address11600 ELDRIDGE AVELake View Terrace, CA 91342-6506
Mailing Address636 Aerick St, Apt 3Inglewood, CA 90301-1944
Phone(818) 686-3000
Sole ProprietorYes
Enumeration DateMarch 20, 2007
Last NPPES UpdateAugust 8, 2007
✔ NPI 1356466965 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 · 48917
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.
11600 ELDRIDGE AVE, Lake View Terrace, CA 91342
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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)

Jessica Gholson Mft Intern 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.

LEIGH ANN MARIE GREENFIELD MFTI
Counselor (Mental Health)
11600 ELDRIDGE AVE
LAKE VIEW TERRACE, CA 91342
Los Angeles County (818) 686-3000
MICHAEL ANDREW TRUJILLO CADCII
Counselor (Addiction (Substance Use Disorder))
11600 ELDRIDGE AVE
LAKE VIEW TERRACE, CA 91342
Los Angeles County (818) 686-3177
MR. PEDRAM MOSHFEGH MA
Marriage & Family Therapist
11600 ELDRIDGE AVE
LAKE VIEW TERRACE, CA 91342
Los Angeles County (310) 913-3292
ORLI BEHBOUDIKHA
Student in an Organized Health Care Education/Training Program
11600 ELDRIDGE AVE
SYLMAR, CA 91342
Los Angeles County (818) 686-3000
JOCELYNE NAOMI DEL CID
Student in an Organized Health Care Education/Training Program
11600 ELDRIDGE AVE
LAKE VIEW TERRACE, CA 91342
Los Angeles County (818) 868-3000
DAISY BARRERA
Social Worker (Clinical)
11600 ELDRIDGE AVE
LAKE VIEW TERRACE, CA 91342
Los Angeles County (818) 686-3000
RENAE BARASSI
Student in an Organized Health Care Education/Training Program
11600 ELDRIDGE AVE
LAKE VIEW TERRACE, CA 91342
Los Angeles County (888) 671-9392
WENDY XIOMARA HERNANDEZ ORELLANA
Peer Specialist
11600 ELDRIDGE AVE
LAKE VIEW TERRACE, CA 91342
Los Angeles County (661) 361-6130

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 Jessica Gholson's NPI number?

The NPI number for Jessica Gholson is 1356466965. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Where is Jessica Gholson located?

Jessica Gholson practices at 11600 Eldridge Ave, Lake View Terrace, CA 91342. The listed phone number is (818) 686-3000.

What is Jessica Gholson's specialty?

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

Is Jessica Gholson enrolled in Medicare?

Yes. Jessica Gholson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Gholson was last updated on August 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.