JOVELYN MARIA PETERSON
NPI 1467819078
Marriage & Family Therapist in San Diego, CA

Active since January 27, 2016PECOS EnrolledAccepts Medicare Assignment
3420 KENYON ST, SAN DIEGO, CA 92110(619) 221-6550 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 1, 2021, Mar 25, 2020, Jan 27, 2016 (3 updates tracked since 2016).

About Jovelyn Maria Peterson NPPES

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

JOVELYN MARIA PETERSON (NPI 1467819078) is an individual marriage & family therapist in San Diego, California, licensed in California (117316) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1467819078
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJOVELYN MARIA PETERSON
Location Address3420 KENYON STSan Diego, CA 92110-5001
Mailing Address5348 University Ave Ste 108San Diego, CA 92105-8025 · (619) 578-2211 · Fax (619) 578-2245
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 27, 2016
Last NPPES UpdateDecember 1, 20213 updates tracked since enumeration
NPPES CertifiedDecember 1, 2021
NPI 1467819078 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 · 117316 Licensed in CA · 91877
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.
3420 KENYON ST, San Diego, CA 92110

Other Names 1

Former Name (1)Jovelyn Maria Ortiz

Secondary Practice Locations 2

Location 15348 University Ave Ste 108San Diego, CA 92105-8025 · Phone (619) 578-2211 · Fax (619) 578-2245
Location 25296 University Ave, Suite F-2San Diego, CA 92105-2269 · Phone (619) 578-2211 · Fax (619) 578-2245

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jovelyn Maria Peterson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618410077
PECOS Enrollment IDI20240613004411
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.

Social Worker (Clinical)
3420 KENYON ST
SAN DIEGO, CA 92110
Social Worker (Clinical)
3420 KENYON ST
SAN DIEGO, CA 92110
Registered Nurse (Psychiatric/Mental Health, Adult)
3420 KENYON ST
SAN DIEGO, CA 92110
Marriage & Family Therapist
3420 KENYON ST
SAN DIEGO, CA 92110
Counselor (Mental Health)
3420 KENYON ST
SAN DIEGO, CA 92110
Psychiatric Hospital
3420 KENYON ST
SAN DIEGO, CA 92110
Social Worker (Clinical)
3420 KENYON ST
SAN DIEGO, CA 92110
Marriage & Family Therapist
3420 KENYON ST
SAN DIEGO, CA 92110

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 Jovelyn Peterson's NPI number?

The NPI number for Jovelyn Peterson is 1467819078. It was assigned to this individual provider in the NPPES registry on January 27, 2016. The provider is also known as Jovelyn Maria Ortiz.

Where is Jovelyn Peterson located?

Jovelyn Peterson practices at 3420 Kenyon St, San Diego, CA 92110. The listed phone number is (619) 221-6550.

What is Jovelyn Peterson's specialty?

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

Is Jovelyn Peterson enrolled in Medicare?

Yes. Jovelyn Peterson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jovelyn Peterson was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.