Jennifer Ann Gustavson-Dufour, LMFT #98554

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

98554 Issued in CA

Practice address

5655 Ardilla Ave
Atascadero, CA 93422-3222

Phone

(805) 464-4660

NPI assigned

May 9, 2012

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

Other identifiers 1

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.

• Bryan'S House Recovery Home

  • Substance Abuse Rehabilitation Facility
  • Atascadero, CA
  • NPI 1275001067
  NPD

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1235498353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5691 LONE PINE PL",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934467387",
            "telephone_number": "805-226-6466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5655 ARDILLA AVE",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934223222",
            "telephone_number": "805-464-4660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "911 21st Street St 204",
            "address_purpose": "LOCATION",
            "city": "Paso Robles",
            "state": "CA",
            "postal_code": "93446",
            "country_code": "US",
            "telephone_number": "805-226-6466",
            "fax_number": "805-226-6466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUSTAVSON-DUFOUR",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "LMFT #98554",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-09",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "98554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MARRIAGE AND FAMILY THERAPIST",
            "identifier": "98554",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lawrence Mark Guittard, DDS
• Dyrleif Gunnarsson, PSY.D., J.D.
• Rannveig K Gunnarsson, FNP
• Gushchin Chiropractic Professional Corporation
• Paige McHale Gushchin, D.C.
• Susanne Haas-Clark, M.S.
• Heidi Haenisch, PH.D.
• Kevin Joseph Hahn, MT-BC
• Nader Akram Louis Halim, RPH
• Lisamarie Hall

• Marriage & Family Therapist in Atascadero, CA
• Providers in Atascadero, 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 12, 2024; 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.