Active NPI
Jessica Rose Landreth, M.S.
- Mental Health Counselor
- Auburn, CA
National Provider Identifier
1043492812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 51669
- Practice address
- 1275 High St
Auburn, CA 95603-5016 - Phone
- (805) 234-6261
- NPI assigned
- Dec 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | 56708 | CA | |
| Marriage & Family Therapist | 106H00000X | 56708 | CA | |
| Mental Health Counselor | 101YM0800X | 51669 | CA | Primary |
Addresses
Primary practice location
1275 High St
Auburn, CA 95603-5016
Mailing address
1275 High St
Auburn, CA 95603-5016
Phone (805) 234-6261
Other practice location 1
784 High St
San Luis Obispo, CA 93401-5243
Phone (805) 540-6500
Other names 1
- Jessica Rose Sappenfield
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 15, 2025 through Jul 15, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51669 | CA | MD | Mental Health Counselor |
| 56708 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702339200000",
"number": "1043492812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1275 HIGH ST",
"city": "AUBURN",
"state": "CA",
"postal_code": "956035016",
"telephone_number": "805-234-6261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1275 HIGH ST",
"city": "AUBURN",
"state": "CA",
"postal_code": "956035016",
"telephone_number": "805-234-6261"
}
],
"practiceLocations": [
{
"address_1": "784 High St",
"address_purpose": "LOCATION",
"city": "San Luis Obispo",
"state": "CA",
"postal_code": "934015243",
"country_code": "US",
"telephone_number": "805-540-6500",
"fax_number": "805-540-6501",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANDRETH",
"first_name": "JESSICA",
"middle_name": "ROSE",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-03",
"last_updated": "2023-12-12",
"certification_date": "2023-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "56708",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "56708",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "51669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "SAPPENFIELD",
"middle_name": "ROSE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Auburn, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.