Individual provider Active NPI

Matthew Ryan Jezierski, LMFT

  • Marriage & Family Therapist
  • Fairfield, CA
National Provider Identifier
1003203886
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
118096 Issued in CA
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

Updated by the provider on Mar 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew patients
Aldea, Inc CurrentSince Jan 19, 2025 Accepting new patients
Aldea Inc CurrentSince Jan 19, 2025 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.

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.

Verify at the official NPI Registry.