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MS. JACQUELINE EYERLY M.A;M.S;LMFT;LPCC NPI 1063649135


NPI Information

NPI: 1063649135
Provider Name: MS. JACQUELINE EYERLY, M.A;M.S;LMFT;LPCC
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Individual
Address:
550 S VERMONT AVE FL 10
LOS ANGELES, CA
ZIP 90020
Phone: (213) 434-5988
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MS. Jacqueline Eyerly, M.A;M.S;LMFT;LPCC is a marriage family therapist in Los Angeles, CA. The provider is 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. MS. Jacqueline Eyerly, M.A;M.S;LMFT;LPCC NPI is 1063649135. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

550 S VERMONT AVE FL 10
LOS ANGELES, CA
ZIP 90020-912
Phone: (213) 434-5988

The enumeration date for this NPI number is 6/16/2009 and was last updated on 3/25/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthMFC49003CALIFORNIANo
2101YP2500XCounselorProfessionalLPCC#675CALIFORNIANo
3106H00000XMarriage & Family TherapistMFC49003CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1MFC#49003OTHERCALIFORNIABOARD OF BEHAVIORAL SCIENCES
2LPCC#675OTHERCALIFORNIALICENSED PROFESSIONAL CLINICAL COUNSELOR
3LPCC#675OTHERCALIFORNIABOARD OF BEHAVIORAL SCIENCES
4MFC#49003OTHERCALIFORNIALICENSED MARRIAGE & FAMILY THERAPIST

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.