Jenna Lee Ghazanfari, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT96807 Issued in CA

Practice address

2377 Gold Meadow Way
Gold River, CA 95670-4405

Phone

(916) 947-9351

NPI assigned

Sep 13, 2018

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

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1235612342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11624 PROSPECT HILL DR",
            "city": "GOLD RIVER",
            "state": "CA",
            "postal_code": "956708221",
            "telephone_number": "916-947-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2377 GOLD MEADOW WAY",
            "city": "GOLD RIVER",
            "state": "CA",
            "postal_code": "956704405",
            "telephone_number": "916-947-9351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAZANFARI",
        "first_name": "JENNA",
        "middle_name": "LEE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-13",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT96807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanann Frey
• Jo Ann Elizabeth Friedrich, PHYSICIAN ASSISTANT
• Feather Gaither, PSY.D
• Nasser Ganji
• Yogita Rastogi Garg
• Linda J Goode, LCSW
• Varvara Seliutina Gowen
• Grace Psychological Associates Inc
• Clifford Stanley Graves, DMIN.
• Tanya Grubaugh, LCSW

• All providers in Gold River, CA
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.