Jodi Lister, AMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

AMFT145047 Issued in CA

Practice address

10113 Alta Sierra Dr Ste 101
Grass Valley, CA 95949-6896

Phone

(530) 277-7481

Fax

(916) 692-1465

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 2

Addresses

Other names 1

• Jodi Lister Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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": "1104684786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10113 ALTA SIERRA DR STE 101",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959496896",
            "telephone_number": "530-277-7481",
            "fax_number": "916-692-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10113 ALTA SIERRA DR STE 101",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959496896",
            "telephone_number": "530-277-7481",
            "fax_number": "916-692-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISTER",
        "first_name": "JODI",
        "credential": "AMFT",
        "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": "AMFT145047",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "APCC15695",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODI",
            "last_name": "LISTER",
            "credential": "APCC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Daniel CHI Hung Lim, PHARM.D.
• Kaya Coxey Lindquist, PT, DPT
• Lindsey a. Robinson, DDS Inc.
• Elizabeth Lipski
• David Lisak
• Dante Littles
• Tambra Lively
• Ian G Livingston, APCC
• David Joseph Lloyd, M.D.
• Kristin Lloyd

• Marriage & Family Therapist in Grass Valley, CA
• Providers in Grass Valley, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.