JENNIFER LEE STARKS (NPI# 1801272448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801272448 |
| Entity Type | Individual |
| Full Name | JENNIFER LEE STARKS |
| Credential | LMFT |
| Practice Address |
4600 S Tracy Blvd Ste 106 Tracy CA 95377-8105 |
| Practice Telephone | 2095973587 |
| Mailing Telephone | 2095983587 |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2019-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
LMFT101980 | CA | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | LMFT101980 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4600 S Tracy Blvd Ste 106, Tracy, CA 953778105 | 2095973587 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417583972 | Jennifer R Starks | Counselor | 824 N 99th Ave Ste 109, Avondale, AZ 85323-5327 | 2020-03-17 |
| 1215319538 | Jennifer Ruth Starks | Marriage & Family Therapist | 1801 American Blvd E Ste 1, Bloomington, MN 55425-1230 | 2015-06-23 |
| 1487973483 | Jennifer Lynn Starks | Counselor | 5461a Gravois Ave, Saint Louis, MO 63116-2340 | 2010-06-01 |
| Street Address |
4600 S TRACY BLVD STE 106 |
| City | TRACY |
| State | CA |
| Zip Code | 95377-8105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639787070 | Mehak Bhardwaj | Behavior Technician | 2434 Saffron Ct, Tracy, CA 95377 | 2020-07-22 |
| 1427510809 | Xiaorui Yang | Behavior Technician | 1951 W Middlefield Dr Apt 224, Tracy, CA 95377 | 2019-04-03 |
| 1962936328 | Duc Nguyen | Pharmacist | 2941 W. Lowell Ave, Apt# 21, Tracy, CA 95377 | 2017-04-12 |
| 1053735043 | Luke Rond | Emergency Medicine | 763 Quail Run Cir, Tracy, CA 95377 | 2014-02-11 |
| 1578862553 | Nhan Duong | Pharmacist | 3250 W. Grant Line Road, Tracy, CA 95377 | 2011-03-16 |
| 1952570582 | Tech Diamond Health Care | Home Health | 2098 Babcock Lane, Tracy, CA 95377 | 2008-02-28 |
| 1316058795 | Wandisan and Rosete Medical Group Professional Corporation | Internal Medicine | 4600 S Tracy Blvd #107, Tracy, CA 95377 | 2006-08-31 |
| 1801838610 | Rollie Duyao Rosete | Internal Medicine | 4600 S Tracy Blvd, #107, Tracy, CA 95377 | 2006-06-13 |
| 1649274663 | Wivina Talabis Urbano | Pediatrics | 4600 South Tracy Blvd, Suite 110, Tracy, CA 95377 | 2005-06-08 |
| 1770586448 | Mitchell Edward Blum | Otolaryngology | 2160 W. Grantline Rd, Suite 250, Tracy, CA 95377 | 2005-05-24 |
| Find all providers in zip 95377 | ||||
| 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 |
|---|---|---|---|---|
| 1184268443 | Karen Jennifer Mccrary | Marriage & Family Therapist | 2180 W Grant Line Rd Ste 218, Tracy, CA 95377-7309 | 2019-10-30 |
| 1477966265 | Sarah Ojeda | Marriage & Family Therapist | 19 East 6th Street, Tracy, CA 95376 | 2014-06-09 |
| 1780007690 | Sarah Rose | Marriage & Family Therapist | 1660 W Linne Rd Ste 223, Tracy, CA 95377-8004 | 2014-01-28 |
| 1851643662 | Heidi A Horner | Marriage & Family Therapist | 1917 Isabel Virginia Dr, Tracy, CA 95377-2284 | 2012-10-04 |
| 1326355538 | Kathy Krueger | Marriage & Family Therapist | 902 Central Ave, Suite 308, Tracy, CA 95376-3929 | 2010-09-09 |
| 1689806895 | Stephanie Silvinson | Marriage & Family Therapist | 1660 W Linne Rd Ste J-22, Tracy, CA 95377-8024 | 2009-08-20 |
| 1356576342 | Tania Gabriela Cisneros-ventura | Marriage & Family Therapist | 35 E. 10th St. Suite L, Tracy, CA 95376 | 2009-05-20 |
| 1194966333 | Sirsey Martinez | Marriage & Family Therapist | 1175 W 11th St, Tracy, CA 95376-3720 | 2009-03-18 |
| 1265633572 | Kamry Elayne Skoglund | Marriage & Family Therapist | 9 W 8th St, 700, Tracy, CA 95376-4122 | 2007-05-31 |
| 1629191366 | Lani G Westervelt | Marriage & Family Therapist | 19 E 6th St, Tracy, CA 95376-4107 | 2007-04-09 |
| Find all providers in TRACY | ||||
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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.