Jeannette Kent Setiawan, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT118365 Issued in CA

Practice address

7273 14TH Ave Ste 120B
Sacramento, CA 95820-3500

Phone

(916) 383-6783

NPI assigned

Jan 29, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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 9, 2024 through Jan 9, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Endurance- a Sports and Psychology Center, Inc.

  • Clinical Psychologist
  • Berkeley, CA
  • NPI 1184041014

  Marriage & Family Therapist

  NPD (past)

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1144728726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 DEL PASO RD STE 130-94",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958352305",
            "telephone_number": "916-642-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7273 14TH AVE STE 120B",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958203500",
            "telephone_number": "916-383-6783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SETIAWAN",
        "first_name": "JEANNETTE",
        "middle_name": "KENT",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-29",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT104197",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT118365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Tyree Session Jr.
• Linda Lee Sessions, PHD
• Prithipal S Sethi, M.D.
• Sahil Sethi, D.M.D.
• Viyeka Sethi, M.D.
• Boone Seto, MD
• Christine Seto, RBT
• Olivia Seto
• Robyn Seto
• Steven L. Seto, MD

• Marriage & Family Therapist in Sacramento, CA
• Providers in Sacramento, 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 16, 2023; 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.