Jillian Renee Jirik

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

75884 Issued in CA

Practice address

1500 Petaluma Blvd S
Petaluma, CA 94952-5545

Phone

(707) 765-8488

NPI assigned

Sep 4, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Petaluma People Services Center

  • Community/Behavioral Health Agency
  • Petaluma, CA
  • NPI 1396951430
  NPD (past)
• Petaluma People Services Center

  • Community/Behavioral Health Agency
  • Petaluma, CA
  • NPI 1558405126
  NPD (past)

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378252800000",
    "number": "1184059552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 BARDY RD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954048478",
            "telephone_number": "925-319-7421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PETALUMA BLVD S",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949525545",
            "telephone_number": "707-765-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIRIK",
        "first_name": "JILLIAN",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-04",
        "last_updated": "2013-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "75884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Allen Jette, DC
• Gurkirit Jhawar-Terris, MFT
• Lizbeth Jimenez Rangel
• Nayely Jasmine Jimenez
• Jayden Leigh Jimerson
• R. Ronald Johns, D.D.S.
• Tylor Love Johnsen
• Austin Johnson
• Davonta Johnson
• Domario Davon Johnson

• Marriage & Family Therapist in Petaluma, CA
• Providers in Petaluma, 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 Sep 4, 2013; 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.