Individual provider Active NPI

Jennifer Cembrano Haya, AMFT, APCC

  • Mental Health Counselor
  • Fremont, CA
National Provider Identifier
1326714536
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
39210 State St Ste 200
Fremont, CA 94538-1456
Phone
(510) 299-3447
NPI assigned
Aug 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

39210 State St Ste 200
Fremont, CA 94538-1456

Mailing address

27505 Calaroga Ave
Hayward, CA 94545-4605
Phone (510) 299-3447

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jhaya@fgwholehealth.com Direct Feeling Good Whole Health

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": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1326714536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27505 CALAROGA AVE",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945454605",
            "telephone_number": "510-299-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39210 STATE ST STE 200",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381456",
            "telephone_number": "510-299-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYA",
        "first_name": "JENNIFER",
        "middle_name": "CEMBRANO",
        "name_prefix": "Mrs.",
        "credential": "AMFT, APCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jhaya@fgwholehealth.com",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "affiliationName": "Feeling Good Whole Health",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "39210 State St Ste 200",
            "city": "Fremont",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945381456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.