Active NPI
Matthew Ryan Jezierski, LMFT
- Marriage & Family Therapist
- Fairfield, CA
National Provider Identifier
1003203886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 118096
- Practice address
- 4820 Business Center Dr Ste 210
Fairfield, CA 94534-1696 - Phone
- (707) 224-8266
- NPI assigned
- Apr 20, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 118096 | CA | Primary |
Addresses
Primary practice location
4820 Business Center Dr Ste 210
Fairfield, CA 94534-1696
Mailing address
2760 McBride LN Apt 3
Santa Rosa, CA 95403-2709
Phone (707) 339-1141
Other practice location 1
2310 First Street
Napa, CA 94559
Phone (707) 244-8266
Other practice location 2
2455 Bennett Valley Rd
Santa Rosa, CA 95404-5663
Phone (707) 244-8266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aldea, Inc | Current | Accepting new patients | |
| Aldea Inc | Current | Accepting new patients |
Locations
4820 Business Center Dr
Ste 210
Fairfield, CA 94534
Phone (707) 425-9670
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Fairfield, CA
- NPI 1023419652
-
- Community/Behavioral Health Agency
- Fairfield, CA
- NPI 1972897346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743120000000",
"number": "1003203886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2760 MCBRIDE LN APT 3",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954032709",
"telephone_number": "707-339-1141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4820 BUSINESS CENTER DR STE 210",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945341696",
"telephone_number": "707-224-8266"
}
],
"practiceLocations": [
{
"address_1": "2310 First Street",
"address_purpose": "LOCATION",
"city": "Napa",
"state": "CA",
"postal_code": "94559",
"country_code": "US",
"telephone_number": "707-244-8266",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2455 Bennett Valley Rd",
"address_purpose": "LOCATION",
"city": "Santa Rosa",
"state": "CA",
"postal_code": "954045663",
"country_code": "US",
"telephone_number": "707-244-8266",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JEZIERSKI",
"first_name": "MATTHEW",
"middle_name": "RYAN",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-20",
"last_updated": "2025-03-28",
"certification_date": "2025-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "118096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.