Active NPI
Jenna Saraceno, IMF
- Marriage & Family Therapist
- Ukiah, CA
National Provider Identifier
1235658899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 140 Gibson St
Ukiah, CA 95482-3941 - Phone
- (707) 468-5536
- NPI assigned
- Sep 14, 2017
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Marriage & Family Therapist | 106H00000X | Primary | ||
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
140 Gibson St
Ukiah, CA 95482-3941
Mailing address
PO Box 2077
Ukiah, CA 95482-2077
Phone (707) 472-2922
Other practice location 1
780 S Dora St
Ukiah, CA 95482-5348
Phone (707) 472-2922
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1235658899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2077",
"city": "UKIAH",
"state": "CA",
"postal_code": "954822077",
"telephone_number": "707-472-2922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 GIBSON ST",
"city": "UKIAH",
"state": "CA",
"postal_code": "954823941",
"telephone_number": "707-468-5536"
}
],
"practiceLocations": [
{
"address_1": "780 S Dora St",
"address_purpose": "LOCATION",
"city": "Ukiah",
"state": "CA",
"postal_code": "954825348",
"country_code": "US",
"telephone_number": "707-472-2922",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SARACENO",
"first_name": "JENNA",
"credential": "IMF",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-14",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ukiah, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.