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JEANNE MARIE ABBOTT PRINZIVALLI
NPI 1366749103
Marriage & Family Therapist in Los Angeles, CA

Active since February 14, 2011PECOS Enrolled
10642 SANTA MONICA BLVD APT 209, LOS ANGELES, CA 90025(323) 879-7809(323) 879-3899 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 26, 2026, Jun 13, 2018 (2 updates tracked since 2018).

About Jeanne Marie Abbott Prinzivalli NPPES

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

JEANNE MARIE ABBOTT PRINZIVALLI (NPI 1366749103) is an individual marriage & family therapist in Los Angeles, California, licensed in California (52833) and active in the NPI registry since February 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1366749103
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJEANNE MARIE ABBOTT PRINZIVALLI
Location Address10642 SANTA MONICA BLVD APT 209Los Angeles, CA 90025-4850
Mailing Address10008 National Blvd # 236Los Angeles, CA 90034-3809 · (310) 806-5386 · Fax (323) 879-3899
Phone(323) 879-7809
Fax(323) 879-3899
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateFebruary 14, 2011
Last NPPES UpdateMay 26, 20262 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
✔ NPI 1366749103 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
License✔ Licensed in CA · 52833
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 ListedMassage TherapistTaxonomy 225700000X · License 165 (CA)
10642 SANTA MONICA BLVD APT 209, Los Angeles, CA 90025
Open in Google Maps ↗

Other Identifiers 4

Other7667CA · Medi-cal
Other7184CA · Medi-cal
Other7368CA · Medi-cal
Other7708CA · Medi-cal

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeanne Marie Abbott Prinzivalli is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567950629
PECOS Enrollment IDI20251023000840
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.

Medicare Billing Reassignment

Medicare enrollment records show Jeanne Prinzivalli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Blossom Wellness Spa Inc
Same address
Marriage & Family Therapist
10642 SANTA MONICA BLVD APT 209
Los Angeles, CA 90025
  • Reassigned Medicare billing, California enrollment
  • 9 clinicians in this Medicare group
NPI 1336858869 (323) 879-7809

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

BLOSSOM WELLNESS SPA INC
Marriage & Family Therapist
10642 SANTA MONICA BLVD APT 209
LOS ANGELES, CA 90025
Los Angeles County (323) 879-7809

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 Jeanne Prinzivalli's NPI number?

The NPI number for Jeanne Prinzivalli is 1366749103. It was assigned to this individual provider in the NPPES registry on February 14, 2011.

Where is Jeanne Prinzivalli located?

Jeanne Prinzivalli practices at 10642 Santa Monica Blvd Apt 209, Los Angeles, CA 90025. The listed phone number is (323) 879-7809.

What is Jeanne Prinzivalli's specialty?

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

Is Jeanne Prinzivalli enrolled in Medicare?

Yes. Jeanne Prinzivalli is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jeanne Prinzivalli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeanne Prinzivalli reassigns Medicare benefits to Blossom Wellness Spa Inc (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeanne Prinzivalli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jeanne Prinzivalli was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.