Active NPI
Jennifer Lynn Stewart, LMFT
- Marriage & Family Therapist
- Sacramento, CA
National Provider Identifier
1154743045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 99689
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 99689 | CA | MD | Marriage & 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.