Active NPI
Yesenia Ibarra, AMFT
- Marriage & Family Therapist
- Santa Rosa, CA
National Provider Identifier
1093437303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 145360
- Practice address
- 2455 Bennett Valley Rd Ste 209
Santa Rosa, CA 95404-5663 - Phone
- (707) 224-8266
- NPI assigned
- Sep 13, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 145360 | CA | Primary |
Addresses
Primary practice location
2455 Bennett Valley Rd Ste 209
Santa Rosa, CA 95404-5663
Mailing address
280 Skillman LN
Petaluma, CA 94952-1226
Phone (707) 321-4503
Other practice location 1
2310 1st St
Napa, CA 94559-2239
Phone (707) 224-8266
Other practice location 2
4820 Business Center Dr Ste 210
Fairfield, CA 94534-1696
Phone (707) 224-8266
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 145360 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aldea Inc | Past | Accepting new patients | |
| Petaluma People Services Center | Past | Accepting new patients | |
| Aldea, Inc | Past | Accepting new patients | |
| Petaluma People Services Center | Past | Accepting new patients |
Organizations & group practices 4
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
-
- Community/Behavioral Health Agency
- Petaluma, CA
- NPI 1396951430
-
- Community/Behavioral Health Agency
- Petaluma, CA
- NPI 1558405126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734393600000",
"number": "1093437303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 SKILLMAN LN",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949521226",
"telephone_number": "707-321-4503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2455 BENNETT VALLEY RD STE 209",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954045663",
"telephone_number": "707-224-8266"
}
],
"practiceLocations": [
{
"address_1": "2310 1st St",
"address_purpose": "LOCATION",
"city": "Napa",
"state": "CA",
"postal_code": "945592239",
"country_code": "US",
"telephone_number": "707-224-8266",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4820 Business Center Dr Ste 210",
"address_purpose": "LOCATION",
"city": "Fairfield",
"state": "CA",
"postal_code": "945341696",
"country_code": "US",
"telephone_number": "707-224-8266",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IBARRA",
"first_name": "YESENIA",
"credential": "AMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-13",
"last_updated": "2024-12-17",
"certification_date": "2024-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "145360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.