Active NPI
Jennifer L Lee, M.A., LMFT
- Marriage & Family Therapist
- Roseville, CA
National Provider Identifier
1447382320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC49993
- Practice address
- 901 Sunrise Ave
Suite a-19
Roseville, CA 95661-4519 - Phone
- (916) 316-3198
- Fax
- (916) 209-3434
- NPI assigned
- Mar 9, 2007
- Last updated
- Dec 21, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC49993 | CA | Primary |
Addresses
Primary practice location
901 Sunrise Ave
Suite a-19
Roseville, CA 95661-4519
Mailing address
901 Sunrise Ave
Suite a-19
Roseville, CA 95661-4519
Phone (916) 316-3198
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC49993 | CA | MD | Marriage & Family Therapist |
| 49993 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324425600000",
"number": "1447382320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 SUNRISE AVE",
"address_2": "SUITE A-19",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956614519",
"telephone_number": "916-316-3198",
"fax_number": "916-209-3434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 SUNRISE AVE",
"address_2": "SUITE A-19",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956614519",
"telephone_number": "916-316-3198",
"fax_number": "916-209-3434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JENNIFER",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "M.A., LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2011-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC49993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.