MRS. JENNINE ELISE POWELL M.A., M.F.T.
NPI 1619204831
Marriage & Family Therapist in San Diego, CA
About Mrs. Jennine Elise Powell M.a., M.f.t. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JENNINE ELISE POWELL M.A., M.F.T. (NPI 1619204831) is an individual marriage & family therapist in San Diego, California, licensed in California (MFC#47653) and active in the NPI registry since November 2009. She has opted out of Medicare through February 23, 2028 and maintains a secondary practice location in Spokane.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mrs. Jennine Elise Powell M.a., M.f.t. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 23, 2024 through February 23, 2028.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92108
SAN DIEGO, CA 92108
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 Jennine Powell's NPI number?
The NPI number for Jennine Powell is 1619204831. It was assigned to this individual provider in the NPPES registry on November 9, 2009.
Where is Jennine Powell located?
Jennine Powell practices at 3333 Camino Del Rio S Ste 215, San Diego, CA 92108. The listed phone number is (619) 471-7104.
What is Jennine Powell's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Jennine Powell enrolled in Medicare?
No. Jennine Powell has opted out of Medicare through February 23, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Jennine Powell was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Mrs. Jennine Elise Powell, M.A., M.F.T. · NPI 1619204831
Marriage & Family Therapist provider in San Diego, California. Individual provider, active in the CMS NPPES registry since November 9, 2009.
## Identity
- **NPI:** 1619204831 (Entity type: Individual)
- **Enumerated:** November 9, 2009
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** MFC#47653 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3333 CAMINO DEL RIO S STE 215, San Diego, CA 92108-3837
- **Phone:** (619) 471-7104 · **Fax:** (619) 297-4496
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through February 23, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** March 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1619204831) · Data from the CMS NPPES public registry.