JENNIFER MITCHELL (NPI# 1215307939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215307939 |
| Entity Type | Individual |
| Full Name | JENNIFER MITCHELL |
| Practice Address |
1626 4th St Santa Rosa CA 95404-4020 |
| Mailing Address |
967 Martin Ln Sebastopol CA 95472-2531 |
| Practice Telephone | 7075298466 |
| Mailing Telephone | 4158231264 |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-11-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306898 | Jennifer Elaine Mitchell | Counselor | 2311 Shelby Ave Ste 201d, Ann Arbor, MI 48103-3849 | 2020-11-06 |
| 1669093001 | Jennifer Mitchell | Marriage & Family Therapist | 2108 23rd St, Rockford, IL 61108-6015 | 2020-04-27 |
| 1932729266 | Jennifer M Mitchell | Assisted Living Facility | 1976 Academy Ave, Tulare, CA 93274-3187 | 2020-04-16 |
| 1811538598 | Jennifer L Mitchell | Physician Assistant | 21 Susquehanna Valley Mall Dr Ste D, Selinsgrove, PA 17870-9148 | 2019-10-03 |
| 1750945903 | Jennifer L Mitchell | Registered Nurse | 644 State Line Rd, Colcord, OK 74338 | 2019-04-23 |
| 1063998870 | Jennifer Mitchell | Specialist/Technologist | 11502 Belmack Blvd S, Odessa, FL 33556-5104 | 2018-07-15 |
| 1841704855 | Jennifer L Mitchell | Counselor | 14125 Cedar Cir, Omaha, NE 68144-2120 | 2017-11-29 |
| 1982066627 | Jennifer Mitchell | Speech-Language Pathologist | 2101 Agecroft Rd., Virginia Beach, VA 23454 | 2016-03-22 |
| 1306223284 | Jennifer M Mitchell | Social Worker | 656 Apple Ave, Holland, MI 49423-5438 | 2015-04-30 |
| 1083003115 | Jennifer Quinn Mitchell | Physician Assistant | 35 Talcottville Rd Ste 5, Vernon, CT 06066-5261 | 2015-01-13 |
| Street Address |
1626 4TH ST |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95404-4020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730443359 | Silvio Machado | Psychologist | 1626 4th St, Santa Rosa, CA 95404-4020 | 2012-06-28 |
| 1043682610 | Sarah Liz | Counselor | 1626 4th St, Santa Rosa, CA 95404-4020 | 2015-10-22 |
| 1871988188 | Richard Selcke | Marriage & Family Therapist | 1626 4th St, Santa Rosa, CA 95404-4020 | 2015-04-02 |
| 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 Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| 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. |
| 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 | ||||
| City | SANTA ROSA |
| Zip Code | 95404 |
Please comment or provide details below to improve the information on JENNIFER MITCHELL.
| 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.