Individual provider Active NPI

Jennifer Lynn Stewart, LMFT

  • Marriage & Family Therapist
  • Sacramento, CA
National Provider Identifier
1154743045
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
99689 Issued in CA
Practice address
711 G St # 100
Sacramento, CA 95814-1212
Phone
(916) 639-0692
NPI assigned
Jan 10, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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 99689 CA Primary

Addresses

Primary practice location

711 G St # 100
Sacramento, CA 95814-1212

Mailing address

1917 Hillock CT
Rocklin, CA 95765-5401
Phone (916) 616-5999

Other practice location 1

300 Harding Blvd Ste 211
Roseville, CA 95678-2473
Phone (916) 229-9305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 19, 2024 through Jan 19, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
99689CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1154743045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1917 HILLOCK CT",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957655401",
            "telephone_number": "916-616-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 G ST # 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958141212",
            "telephone_number": "916-639-0692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Harding Blvd Ste 211",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956782473",
            "country_code": "US",
            "telephone_number": "916-229-9305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-10",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "99689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.