JAN RADKE


Address: 1023 College Ave, Santa Rosa, CA 95404-4112
Phone: 7074860306

JAN RADKE (NPI# 1114205192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114205192
Entity Type Individual
Full Name JAN RADKE
Credential M.A., M.F.T,
Practice Address 1023 College Ave
Santa Rosa
CA 95404-4112
Mailing Address 1654 Hopper Ave
Santa Rosa
CA 95403-8600
Practice Telephone 7074860306
Mailing Telephone 7075266947
Enumeration Date 2011-07-25
Last Update Date 2011-07-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist MFT20457 CA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA MARRIAGE AND FAMILY COUNSELING LICENSE MFT20457 01

Other Providers JAN RADKE

NPI Name Taxonomy Address Enumeration
1437327053 Jan Rodger Radke Internal Medicine 13241 Luckett Ct, San Diego, CA 92130-3225 2008-02-16

Office Location

Street Address 1023 COLLEGE AVE
City SANTA ROSA
State CA
Zip Code 95404-4112

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376531012 Timothy David Stein Marriage & Family Therapist 1023 College Ave, Santa Rosa, CA 95404-4112 2005-10-06
1396173852 Zoe Anne Lockert Marriage & Family Therapist 1023 College Ave, Santa Rosa, CA 95404-4112 2013-10-21
1750518221 Debbie Oliver Marriage & Family Therapist 1023 College Ave, Santa Rosa, CA 95404-4112 2009-06-11
1619120177 Cynthia Iris Hymowitz Stephens Counselor 1023 College Ave, Santa Rosa, CA 95404-4112 2008-10-28
1376791640 Patricia Ellen Ross Counselor 1023 College Ave, Santa Rosa, CA 95404-4112 2008-08-28
1932375532 Frieda L. Ferrick Counselor 1023 College Ave, Santa Rosa, CA 95404-4112 2008-05-02
1174717102 Sara Louise Jones Marriage & Family Therapist 1023 College Ave, Santa Rosa, CA 95404-4112 2007-09-03
1710032164 Frances Danoff Marriage & Family Therapist 1023 College Ave, Santa Rosa, CA 95404-4112 2007-01-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205442217 David Lee Dutton Counselor 201 S. E Street, Santa Rosa, CA 95404 2020-09-16
1114492162 Jesse Earl Rathbun Jr. Ophthalmology 1920 Grace Dr., Santa Rosa, CA 95404 2018-10-05
1568958437 Bianca Avina Marriage & Family Therapist 95 Montgomery Dr. #112, Santa Rosa, CA 95404 2018-07-03
1366940504 New Leaf Counseling and Psychotherapy Marriage & Family Therapist 1030 2n Street, Suite B, Santa Rosa, CA 95404 2018-01-23
1659884864 Jessica Vargas Lopez Counselor 3333 Chanate Road, Santa Rosa, CA 95404 2017-11-09
1982135992 Gaea Keridwyn Coon Marriage & Family Therapist 884 Third Street, Suite D, Santa Rosa, CA 95404 2017-03-22
1376084699 Empire Traditional Chinese Medicine Acupuncturist 1030 Second St, Santa Rosa, CA 95404 2017-03-20
1356888705 Webster Surgery Center, Lp Clinic/Center 730 Bennett Valley Road, Santa Rosa, CA 95404 2017-01-24
1205295979 Sandra Lee Krikorian Social Worker 101 E Street, Suite 312, Santa Rosa, CA 95404 2016-02-23
1396134615 The Center for Body Oriented Psychotherapy & Wellness Psychologist 1626 Fourth Street, Santa Rosa, CA 95404 2015-01-12
Find all providers in zip 95404

Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386269918 Debra Gold Marriage & Family Therapist 835 Piner Rd, Santa Rosa, CA 95403-2063 2020-06-09
1619590700 Cameron Craig Lutchansky Marriage & Family Therapist 2235 Mercury Way Ste 240, Santa Rosa, CA 95407-5443 2020-05-22
1689294498 Pamela Jo Peringer Marriage & Family Therapist 2345 Morningside Cir, Santa Rosa, CA 95405-9132 2020-04-22
1467004028 Megan Barajas Marriage & Family Therapist 3440 Mendocino Ave, Santa Rosa, CA 95403-2221 2019-07-14
1275193674 Marie Romano Marriage & Family Therapist 3434 Mendocino Ave Bldg C, Santa Rosa, CA 95403-2274 2019-06-18
1851956932 Amy Theodore Marriage & Family Therapist 2455 Bennett Valley Rd Ste B201, Santa Rosa, CA 95404-5667 2019-05-05
1609335314 Heidi Diebel Marriage & Family Therapist 9291 Oak Trail Cir, Santa Rosa, CA 95409 2019-03-13
1114413952 Jordan Morrison Marriage & Family Therapist 1260 N Dutton Ave Ste 230, Santa Rosa, CA 95401-7161 2018-07-05
1568958437 Bianca Avina Marriage & Family Therapist 95 Montgomery Dr. #112, Santa Rosa, CA 95404 2018-07-03
1174012710 Humanidad Therapy and Education Services Marriage & Family Therapist 95 Montgomery Dr Ste 112, Santa Rosa, CA 95404-6617 2018-05-09
Find all providers in SANTA ROSA

Competitor

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City SANTA ROSA
Zip Code 95404

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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