JESSICA MARIGLIO LMFT
NPI 1629739735
Marriage & Family Therapist in Los Angeles, CA

Active since January 02, 2022Opted out of Medicare · through Jan 1, 2028
12240 VENICE BLVD STE 26, LOS ANGELES, CA 90066(610) 698-6293 Get Directions Write a Review

NPPES record last updated: May 5, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 5, 2023, Jan 2, 2022 (2 updates tracked since 2022).

About Jessica Mariglio Lmft NPPES

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

JESSICA MARIGLIO LMFT (NPI 1629739735) is an individual marriage & family therapist in Los Angeles, California, licensed in California (129833) and active in the NPI registry since January 2022. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1629739735
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJESSICA MARIGLIOCredential: LMFT
Location Address12240 VENICE BLVD STE 26Los Angeles, CA 90066-3891
Mailing Address12240 Venice Blvd Ste 26Los Angeles, CA 90066-3891 · (610) 698-6293
Sole ProprietorYes
Enumeration DateJanuary 2, 2022
Last NPPES UpdateMay 5, 20232 updates tracked since enumeration
NPPES CertifiedMay 5, 2023
NPI 1629739735 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 · 129833
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.
12240 VENICE BLVD STE 26, Los Angeles, CA 90066

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Jessica Mariglio Lmft 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 January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
12240 VENICE BLVD STE 26
LOS ANGELES, CA 90066

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 Jessica Mariglio's NPI number?

The NPI number for Jessica Mariglio is 1629739735. It was assigned to this individual provider in the NPPES registry on January 2, 2022.

Where is Jessica Mariglio located?

Jessica Mariglio practices at 12240 Venice Blvd Ste 26, Los Angeles, CA 90066. The listed phone number is (610) 698-6293.

What is Jessica Mariglio's specialty?

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

Is Jessica Mariglio enrolled in Medicare?

No. Jessica Mariglio has opted out of Medicare through January 1, 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 Jessica Mariglio was last updated on May 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.