Individual provider Active NPI

Jessica Rose Landreth, M.S.

  • Mental Health Counselor
  • Auburn, CA
National Provider Identifier
1043492812
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
51669 Issued in CA
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

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
51669CAMDMental Health Counselor
56708CAMDPhysician 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

Verify at the official NPI Registry.