Individual provider Active NPI

Jay Stone Rice, PH.D, LMFT

  • Marriage & Family Therapist
  • San Rafael, CA
National Provider Identifier
1114450715
Registry record updated Apr 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT19107 Issued in CA
Practice address
2173 Francisco Blvd E Ste J
San Rafael, CA 94901-5523
Phone
(415) 485-1388
Fax
(415) 897-7227
NPI assigned
Apr 10, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT19107 CA Primary

Addresses

Primary practice location

2173 Francisco Blvd E Ste J
San Rafael, CA 94901-5523

Mailing address

2173 Francisco Blvd E Ste J
San Rafael, CA 94901-5523
Phone (415) 485-1388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 28, 2024 through Oct 28, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LMFT19107CAMDMarriage & Family Therapist
19107CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1114450715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2173 FRANCISCO BLVD E STE J",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949015523",
            "telephone_number": "415-485-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2173 FRANCISCO BLVD E STE J",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949015523",
            "telephone_number": "415-485-1388",
            "fax_number": "415-897-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICE",
        "first_name": "JAY",
        "middle_name": "STONE",
        "name_prefix": "Dr.",
        "credential": "PH.D, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-10",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT19107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

Verify at the official NPI Registry.