Active NPI
Jenee Anne Cozine
- Marriage & Family Therapist
- Santa Rosa, CA
National Provider Identifier
1376065979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 165331
- Practice address
- 3650 Standish Ave
Santa Rosa, CA 95407-8113 - Phone
- (707) 585-6108
- NPI assigned
- Jul 14, 2017
- Last updated
- Sep 30, 2026
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | ||
| Marriage & Family Therapist | 106H00000X | 134707 | CA | |
| Marriage & Family Therapist | 106H00000X | 165331 | CA | Primary |
| Behavior Technician | 106S00000X | NU |
Addresses
Primary practice location
3650 Standish Ave
Santa Rosa, CA 95407-8113
Mailing address
115 Coronation Dr
Santa Rosa, CA 95401-5667
Phone (707) 318-4045
Other practice location 1
1335 N Dutton Ave
Santa Rosa, CA 95401-4609
Phone (707) 888-2927
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 134707 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790726400000",
"number": "1376065979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 CORONATION DR",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954015667",
"telephone_number": "707-318-4045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3650 STANDISH AVE",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954078113",
"telephone_number": "707-585-6108"
}
],
"practiceLocations": [
{
"address_1": "1335 N Dutton Ave",
"address_purpose": "LOCATION",
"city": "Santa Rosa",
"state": "CA",
"postal_code": "954014609",
"country_code": "US",
"telephone_number": "707-888-2927",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COZINE",
"first_name": "JENEE",
"middle_name": "ANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-14",
"last_updated": "2026-09-30",
"certification_date": "2026-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "134707",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "165331",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.