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CARRISSA MICHELLE DAINO JONES
NPI 1629690334
Marriage & Family Therapist in San Pedro, CA

Active since May 15, 2020PECOS Enrolled
916 N WESTERN AVE STE 210, SAN PEDRO, CA 90732(310) 957-2099 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 26, 2025, Jul 3, 2023, Aug 30, 2022 and 3 more (6 updates tracked since 2020).

About Carrissa Michelle Daino Jones NPPES

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

CARRISSA MICHELLE DAINO JONES (NPI 1629690334) is an individual marriage & family therapist in San Pedro, California, licensed in California (150762) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lynwood.

NPPES Registry Identity

NPI1629690334
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameCARRISSA MICHELLE DAINO JONES
Location Address916 N WESTERN AVE STE 210San Pedro, CA 90732-2407
Mailing Address1638 Huntington Dr Apt DSouth Pasadena, CA 91030-4741 · (916) 690-2404
Phone(310) 957-2099
Sole ProprietorNo
Enumeration DateMay 15, 2020
Last NPPES UpdateJune 26, 20256 updates tracked since enumeration
NPPES CertifiedJune 26, 2025
✔ NPI 1629690334 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 · 150762
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 ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 128934 (CA)
916 N WESTERN AVE STE 210, San Pedro, CA 90732
Open in Google Maps ↗

Secondary Practice Location 1

Location 13680 E Imperial Hwy Ste 220Lynwood, CA 90262-2663 · Phone (323) 769-7174

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carrissa Michelle Daino Jones 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.

Medicare Billing Reassignment

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

Forward Wellness Family Therapy, Inc.
28 mi
Community/Behavioral Health
1041 E YORBA LINDA BLVD STE 202
Placentia, CA 92870
  • Reassigned Medicare billing, California enrollment
  • 150 clinicians in this Medicare group
NPI 1093398059 (800) 701-0937

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 4

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

INTEGRATION CORPORATION
Counselor (Mental Health)
916 N WESTERN AVE STE 210
SAN PEDRO, CA 90732
Los Angeles County (310) 508-9531
JILL VERMEIRE M.F.T.
Marriage & Family Therapist
916 N WESTERN AVE STE 210
SAN PEDRO, CA 90732
Los Angeles County (310) 751-0509
SOUTH BAY CONNECT TREATMENT CENTER
Counselor (Addiction (Substance Use Disorder))
916 N WESTERN AVE STE 210
SAN PEDRO, CA 90732
Los Angeles County (310) 776-7406
CHARLES FRANKLIN MILLER ASW
Counselor (Mental Health)
916 N WESTERN AVE STE 210
SAN PEDRO, CA 90732
Los Angeles County (866) 519-7722

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 Carrissa Jones's NPI number?

The NPI number for Carrissa Jones is 1629690334. It was assigned to this individual provider in the NPPES registry on May 15, 2020.

Where is Carrissa Jones located?

Carrissa Jones practices at 916 N Western Ave Ste 210, San Pedro, CA 90732. The listed phone number is (310) 957-2099.

What is Carrissa Jones's specialty?

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

Is Carrissa Jones enrolled in Medicare?

Yes. Carrissa Jones is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carrissa Jones's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carrissa Jones reassigns Medicare benefits to Forward Wellness Family Therapy, Inc. (Placentia, 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 Carrissa Jones'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 Carrissa Jones was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.