Individual provider Active NPI

Jenner Bishop, M.A., LMFT

  • Marriage & Family Therapist
  • Oakland, CA
National Provider Identifier
1346875200
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
C43846 Issued in CA
Practice address
4171 Piedmont Ave Ste 206B
Oakland, CA 94611-5175
Phone
(510) 463-4051
NPI assigned
Mar 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X C43846 CA Primary

Addresses

Primary practice location

4171 Piedmont Ave Ste 206B
Oakland, CA 94611-5175

Mailing address

4171 Piedmont Ave Ste 206B
Oakland, CA 94611-5175
Phone (510) 463-4051

Other practice location 1

2938 Webster St # 200
Oakland, CA 94609-3407
Phone (510) 463-4051

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
C43846CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1346875200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4171 PIEDMONT AVE STE 206B",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115175",
            "telephone_number": "510-463-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4171 PIEDMONT AVE STE 206B",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115175",
            "telephone_number": "510-463-4051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2938 Webster St # 200",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946093407",
            "country_code": "US",
            "telephone_number": "510-463-4051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "JENNER",
        "credential": "M.A., LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-11",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "C43846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; 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.