JESSICA KEIKO LANE (NPI# 1710332770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710332770 |
| Entity Type | Individual |
| Full Name | JESSICA KEIKO LANE |
| Credential | MFT |
| Practice Address |
3120 Telegraph Ave Suite 11 Berkeley CA 94705-1900 |
| Practice Telephone | 5105276188 |
| Mailing Telephone | 5105276188 |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2016-04-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | LMFT44341 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720622509 | Jessica Chandi Lane | Nurse Practitioner | 2601 Lakeside Pkwy Ste 180, Flower Mound, TX 75022-4291 | 2019-11-04 |
| 1710494224 | Jessica Lauren Lane | Occupational Therapist | 408 Country Run Cir, Powell, TN 37849-5428 | 2018-01-05 |
| 1366895914 | Jessica Lane | Counselor | 7 Sheridan Rd, Asheville, NC 28803-2228 | 2016-07-19 |
| 1326421306 | Jessica Lane | Physical Therapist | 300 E Hampden Ave Ste 100, Englewood, CO 80113-2647 | 2015-07-08 |
| 1235738642 | Jessica Michelle Lane | Physical Therapy Assistant | 2441 S Highway 27, Somerset, KY 42501-2935 | 2020-10-19 |
| 1710584917 | Jessica Lee Lane | Counselor | 5290 Williams Dr, Roscoe, IL 61073-9222 | 2020-10-01 |
| 1609407519 | Jessica Ann Lane | Behavior Technician | 102 S Tejon St Ste 1100, Colorado Springs, CO 80903-2253 | 2020-01-29 |
| 1619525888 | Jessica Lane | Pharmacist | 668 S Us Highway 231, Bloomfield, IN 47424-7114 | 2019-08-29 |
| 1124687785 | Jessica Dawn Lane | Nurse Practitioner | 200 Creekside Dr, Dickson, TN 37055-2176 | 2019-06-07 |
| 1801373964 | Jessica D Lane | Nurse Practitioner | 1500 W Elk Ave, Elizabethton, TN 37643-2654 | 2018-07-23 |
| Street Address |
3120 TELEGRAPH AVE SUITE 11 |
| City | BERKELEY |
| State | CA |
| Zip Code | 94705-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598868028 | Aabeca Holistic Psychological Services Inc | Psychologist | 3120 Telegraph Ave, Suite 11, Berkeley, CA 94705 | 2006-09-07 |
| 1770042343 | Serena Stephanie Miller-sears | Marriage & Family Therapist | 3120 Telegraph Ave, Berkeley, CA 94705-1900 | 2019-03-13 |
| 1669981007 | Pamela Ellen Rosin | Marriage & Family Therapist | 3120 Telegraph Ave, Berkeley, CA 94705-1900 | 2017-09-28 |
| 1811444102 | Catherine Frances Psychiatrist, P.a. | Psychiatry & Neurology | 3120 Telegraph Ave, Suite 2, Berkeley, CA 94705-1900 | 2016-09-05 |
| 1053777896 | Shendl Tuchman | Psychologist | 3120 Telegraph Ave, Suite 9, Berkeley, CA 94705-1900 | 2016-01-09 |
| 1053746305 | Alisa Vincent | Counselor | 3120 Telegraph Ave, Berkeley, CA 94705-1900 | 2013-09-05 |
| 1629334057 | Cici Kinsman | Marriage & Family Therapist | 3120 Telegraph Ave, Suite 3, Berkeley, CA 94705-1900 | 2012-04-10 |
| 1295000792 | David Leong | Marriage & Family Therapist | 3120 Telegraph Ave, Suite 4, Berkeley, CA 94705-1900 | 2012-03-15 |
| 1902170939 | Susan Williams | Specialist | 3120 Telegraph Ave, Suite 12, Berkeley, CA 94705-1900 | 2012-03-08 |
| 1013202670 | Rachael Arline Peltz | Psychologist | 3120 Telegraph Ave, Suite #1, Berkeley, CA 94705-1900 | 2011-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447882956 | Diane Lomas Wyatt | Marriage & Family Therapist | 2340 Ward St. Ste 104, Berkeley, CA 94705 | 2020-02-12 |
| 1700371275 | Icecreamwala Dermatology Inc | Dermatology | 2435 Webster St Ste 101, Berkeley, CA 94705 | 2018-06-27 |
| 1396253803 | David R Shaddock | Marriage & Family Therapist | 3030 Ashby Avenue, # 105, Berkeley, CA 94705 | 2018-01-18 |
| 1821504432 | Allegra Tringali | Physical Therapist | 2450 Ashby Ave Fl 6, Berkeley, CA 94705 | 2017-12-19 |
| 1659898740 | Hunter Brown | Student in an Organized Health Care Education/Training Program | Wright Institute Clinical Services 1918 University Ave, Suite 2b, Berkeley, CA 94705 | 2017-08-29 |
| 1588014534 | Heather Valdez | Social Worker | 2185 Ashby Ave, Berkeley, CA 94705 | 2016-06-20 |
| 1215350145 | S.e.e.d.s. (social and Emotional Education Development and Support) | Community/Behavioral Health | 3120 Telegraph Avenue Ste 9, Berkeley, CA 94705 | 2014-01-29 |
| 1144580960 | Benjamin Tucker | Counselor | 2625 Alcatraz Ave Ste 609, Berkeley, CA 94705 | 2012-05-26 |
| 1881966141 | Jennifer Cowherd | Behavioral Analyst | 2201 Woolsey St, Berkeley, CA 94705 | 2012-02-02 |
| 1518255892 | Erika D Huguenard | Counselor | 2811a College Avenue, Berkeley, CA 94705 | 2011-07-20 |
| Find all providers in zip 94705 | ||||
| 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 |
|---|---|---|---|---|
| 1407456320 | Debby Liang | Marriage & Family Therapist | 2140 Shattuck Ave Ste 804, Berkeley, CA 94704-1229 | 2020-10-29 |
| 1770100513 | Ferris Wahl | Marriage & Family Therapist | 1211 Ward St, Berkeley, CA 94702-2235 | 2020-06-27 |
| 1356962310 | Donald Ira Bender | Marriage & Family Therapist | 1164 Euclid Ave, Berkeley, CA 94708-1603 | 2020-04-30 |
| 1780213504 | Ryan Maria Peter Buchholz | Marriage & Family Therapist | 1611 San Pablo Ave, Berkeley, CA 94702-1375 | 2020-04-03 |
| 1396373544 | Daria Elizabeth Wrubel | Marriage & Family Therapist | 2576 Shattuck Ave Ste 2, Berkeley, CA 94704-2724 | 2020-03-31 |
| 1134755457 | Elizabeth Anike Dejong | Marriage & Family Therapist | 2880 Sacramento St Ste A, Berkeley, CA 94702-2533 | 2020-03-18 |
| 1447882956 | Diane Lomas Wyatt | Marriage & Family Therapist | 2340 Ward St. Ste 104, Berkeley, CA 94705 | 2020-02-12 |
| 1063982874 | Juliane C M Brown | Marriage & Family Therapist | 921 The Alameda Ste 227, Berkeley, CA 94707-2311 | 2018-12-05 |
| 1063919355 | Anna Nicole Lewis | Marriage & Family Therapist | 3120 Telegraph Ave Ste 7d, Berkeley, CA 94705-1965 | 2018-04-12 |
| 1497257349 | Devon D'avanzo | Marriage & Family Therapist | 1810 Hopkins St, Berkeley, CA 94707-2717 | 2018-03-07 |
| Find all providers in BERKELEY | ||||
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| 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.