Jill K Applegate

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

3650 Standish Ave
Santa Rosa, CA 95407-8113

Phone

(707) 738-4308

NPI assigned

Nov 3, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jill Applegate Marriage and Family Therapy, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Santa Rosa, CA
  • NPI 1083418495
  NPD Authorized official

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1396346763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 GRANADA DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954093011",
            "telephone_number": "707-738-4308"
        },
        {
            "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": "707-738-4308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19375 CA-116",
            "address_purpose": "LOCATION",
            "city": "Monte Rio",
            "state": "CA",
            "postal_code": "95462",
            "country_code": "US",
            "telephone_number": "707-865-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "APPLEGATE",
        "first_name": "JILL",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betsabe Montserrat Aparicio Medina
• Jennifer Apocotos-Kirk, RDH,MA
• Donald Theodore Apostle, MD
• Gregory Blake Apostle
• Andrea Appelmann
• Apria Healthcare LLC
• Jesse Aquino, RASI
• Zainab Arafi
• Denise Arana Loubriel, PH.D.
• Thomas Arata, RPH

• Marriage & Family Therapist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.