JANICE D AGDIGOS LMFT - NPI 1710529425 - Marriage & Family Therapist in San Bernardino, CA

Q: What is Janice Agdigos's NPI number?

The NPI number for Janice Agdigos is 1710529425. It was assigned to this individual provider in the NPPES registry on October 14, 2019.

Q: What is Janice Agdigos's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Janice Agdigos was last updated on November 15, 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.

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About Janice D Agdigos Lmft NPPES

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

JANICE D AGDIGOS LMFT (NPI 1710529425) is an individual marriage & family therapist in San Bernardino, California, licensed in California (108600) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710529425

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameJANICE D AGDIGOSCredential: LMFT

Location Address325 W HOSPITALITY LN STE 312San Bernardino, CA 92408-3212

Mailing Address325 W Hospitality Ln Ste 312San Bernardino, CA 92408-3212 · (866) 205-3595

Phone(866) 205-3595

Sole ProprietorNo

Enumeration DateOctober 14, 2019

Last NPPES UpdateNovember 15, 20212 updates tracked since enumeration

NPPES CertifiedNovember 12, 2021

✔ NPI 1710529425 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 · 108600

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.

325 W HOSPITALITY LN STE 312, San Bernardino, CA 92408

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Janice D Agdigos Lmft 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.

Other Providers at the Same Location NPPES 12

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

JENNIFER ANNE GORDILLO

Marriage & Family Therapist