JACKEELYN MENDOZA
NPI 1457853343
Marriage & Family Therapist in Woodland Hills, CA

Q: What is Jackeelyn Mendoza's NPI number?

The NPI number for Jackeelyn Mendoza is 1457853343. It was assigned to this individual provider in the NPPES registry on March 6, 2018.

Q: What is Jackeelyn Mendoza'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 Jackeelyn Mendoza was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since March 06, 2018PECOS Enrolled

6267 VARIEL AVE, WOODLAND HILLS, CA 91367(818) 657-0411 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Mar 6, 2018 (2 updates tracked since 2018).

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About Jackeelyn Mendoza NPPES

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

JACKEELYN MENDOZA (NPI 1457853343) is an individual marriage & family therapist in Woodland Hills, California, licensed in California (125203) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Dimas.

NPPES Registry Identity

NPI1457853343

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameJACKEELYN MENDOZA

Location Address6267 VARIEL AVEWoodland Hills, CA 91367-2512

Mailing Address279 E Arrow HwySan Dimas, CA 91773-3319

Phone(818) 657-0411

Sole ProprietorNo

Enumeration DateMarch 6, 2018

Last NPPES UpdateOctober 28, 20242 updates tracked since enumeration

NPPES CertifiedOctober 28, 2024

✔ NPI 1457853343 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 · 125203

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.

6267 VARIEL AVE, Woodland Hills, CA 91367

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Secondary Practice Location 1

Location 1279 E Arrow HwySan Dimas, CA 91773-3319 · Phone (909) 260-6651

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jackeelyn Mendoza 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 19

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

MORGAN A BLACKLEDGE

Marriage & Family Therapist

6267 VARIEL AVE, SUITE B
WOODLAND HILLS, CA 91367

Los Angeles County (818) 657-0411

SUSAN FRANK

Social Worker (Clinical)

6267 VARIEL AVE, SUITE B
WOODLAND HILLS, CA 91367

Los Angeles County (818) 657-0411

HOURIG SEROPIAN

Community Health Worker

6267 VARIEL AVE
WOODLAND HILLS, CA 91367

Los Angeles County (818) 657-0411

MRS. AMRITA SAYLOR

Marriage & Family Therapist

6267 VARIEL AVE, SUITE B
WOODLAND HILLS, CA 91367

Los Angeles County (818) 657-0411

ESTHER ROE

Community Health Worker

6267 VARIEL AVE
WOODLAND HILLS, CA 91367

Los Angeles County (818) 679-0220

KRISTIN HARKINS

Marriage & Family Therapist

6267 VARIEL AVE, SUITE B
WOODLAND HILLS, CA 91367

Los Angeles County (818) 657-0411

MRS. CHRISTINA CARRILLO

Rehabilitation Practitioner

6267 VARIEL AVE, SUITE B
WOODLAND HILLS, CA 91367

Los Angeles County (661) 575-8395

LEANN KATHERINE MARSCHALL

Counselor (Mental Health)

6267 VARIEL AVE, SUITE B
WOODLAND HILLS, CA 91367

Los Angeles County (818) 657-0411

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 Jackeelyn Mendoza's NPI number?

The NPI number for Jackeelyn Mendoza is 1457853343. It was assigned to this individual provider in the NPPES registry on March 6, 2018.

Where is Jackeelyn Mendoza located?

Jackeelyn Mendoza practices at 6267 Variel Ave, Woodland Hills, CA 91367. The listed phone number is (818) 657-0411.

What is Jackeelyn Mendoza's specialty?

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

Is Jackeelyn Mendoza enrolled in Medicare?

Yes. Jackeelyn Mendoza is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jackeelyn Mendoza was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.