Individual provider Active NPI

Jenni Rene Gordon, MA, LMFT

  • Marriage & Family Therapist
  • Redding, CA
National Provider Identifier
1194121913
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT90971 Issued in CA
Practice address
1400 Oregon St
Redding, CA 96001-1620
Phone
(530) 232-0539
NPI assigned
Nov 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT90971 CA Primary
Marriage & Family Therapist 106H00000X T3498 OR

Addresses

Primary practice location

1400 Oregon St
Redding, CA 96001-1620

Mailing address

353 Park Marina Cir
Redding, CA 96001-0965
Phone (530) 355-0115

Other practice location 1

353 Park Marina Cir
Redding, CA 96001-0965
Phone (530) 355-0115

Other names 1

  • Jenni Rene Odell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LMFT90971CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oracle Oak Family Therapy Marriage & Family Therapist Current Accepting new patients
Children'S Legacy Center Past Accepting new patients

Locations

353 Park Marina Cir
Redding, CA 96001
Phone (530) 245-9221

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1194121913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 PARK MARINA CIR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010965",
            "telephone_number": "530-355-0115",
            "fax_number": "530-245-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 OREGON ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011620",
            "telephone_number": "530-232-0539"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "353 Park Marina Cir",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960010965",
            "country_code": "US",
            "telephone_number": "530-355-0115",
            "fax_number": "530-245-9222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDON",
        "first_name": "JENNI",
        "middle_name": "RENE",
        "credential": "MA, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-05",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT90971",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T3498",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNI",
            "last_name": "ODELL",
            "middle_name": "RENE",
            "credential": "MA, LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.