Jane Ellen Hargrave

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

42877 Issued in CA

Practice address

1558 James Ave
Redwood City, CA 94062-2249

Phone

(510) 859-7835

NPI assigned

Mar 8, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1053179564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1558 JAMES AVE",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940622249",
            "telephone_number": "650-207-4864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1558 JAMES AVE",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940622249",
            "telephone_number": "510-859-7835"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1806 Martin Luther King Jr Way",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947092227",
            "country_code": "US",
            "telephone_number": "510-859-7835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARGRAVE",
        "first_name": "JANE",
        "middle_name": "ELLEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "42877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanna, DDS, Inc.
• Ihab Morcos Hanna, DDS
• Jerald R Hannah, D.C.
• Jeffrey R Hansen
• India Hargett
• Adam L Harmon, M.D.
• Stephanie Harper
• Isiah Harris, MD
• Kathleen Cooke Harris
• Ruth Elizabeth Harris

• Marriage & Family Therapist in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.