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JENNIFER KEZIA SIMON
NPI 1689359770
Marriage & Family Therapist in Newbury Park, CA

Active since June 16, 2023PECOS Enrolled
1000 NEWBURY RD STE 150, NEWBURY PARK, CA 91320(805) 498-3640(805) 498-3641 Get Directions Write a Review

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

Record update history: Mar 26, 2025, Jun 16, 2023 (2 updates tracked since 2023).

About Jennifer Kezia Simon NPPES

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

JENNIFER KEZIA SIMON (NPI 1689359770) is an individual marriage & family therapist in Newbury Park, California, licensed in California (153936) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689359770
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJENNIFER KEZIA SIMON
Location Address1000 NEWBURY RD STE 150Newbury Park, CA 91320-6438
Mailing Address1040 Flynn RdCamarillo, CA 93012-5092 · (805) 673-3930 · Fax (805) 659-3217
Phone(805) 498-3640
Fax(805) 498-3641
Sole ProprietorNo
Enumeration DateJune 16, 2023
Last NPPES UpdateMarch 26, 20252 updates tracked since enumeration
NPPES CertifiedMarch 26, 2025
✔ NPI 1689359770 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 · 153936
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.
1000 NEWBURY RD STE 150, Newbury Park, CA 91320
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Kezia Simon 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 Jennifer Simon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinicas Del Camino Real Inc
Same address
Federally Qualified Health Center (FQHC)
1000 NEWBURY RD, SUITE 150
Newbury Park, CA 91320
  • Reassigned Medicare billing, California enrollment
  • 216 clinicians in this Medicare group
NPI 1982820221 (805) 498-3640

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.

ANJANI GIRISH HAGAN MD
Family Medicine
1000 NEWBURY RD STE 150
NEWBURY PARK, CA 91320
Ventura County (805) 498-3640
ALLAN D LAIRD
Chiropractor
1000 NEWBURY RD STE 150
NEWBURY PARK, CA 91320
Ventura County (805) 498-3640
ANTON HOANG DDS
Dentist
1000 NEWBURY RD STE 150
NEWBURY PARK, CA 91320
Ventura County (805) 498-3640
ANGELA P SEPULVEDA VELEZ MD
Family Medicine
1000 NEWBURY RD STE 150
NEWBURY PARK, CA 91320
Ventura County (805) 498-3640

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 Jennifer Simon's NPI number?

The NPI number for Jennifer Simon is 1689359770. It was assigned to this individual provider in the NPPES registry on June 16, 2023.

Where is Jennifer Simon located?

Jennifer Simon practices at 1000 Newbury Rd Ste 150, Newbury Park, CA 91320. The listed phone number is (805) 498-3640.

What is Jennifer Simon's specialty?

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

Is Jennifer Simon enrolled in Medicare?

Yes. Jennifer Simon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jennifer Simon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Simon reassigns Medicare benefits to Clinicas Del Camino Real Inc (Newbury Park, 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 Jennifer Simon'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 Jennifer Simon was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.