Active NPI
Jennifer Lynne Randt
- Marriage & Family Therapist
- Berkeley, CA
National Provider Identifier
1487194627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 125941
- Practice address
- 3036 Regent St
Berkeley, CA 94705-2551 - Phone
- (650) 219-5689
- NPI assigned
- Mar 7, 2017
- 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 | 125941 | CA | Primary |
Addresses
Primary practice location
3036 Regent St
Berkeley, CA 94705-2551
Mailing address
934 56TH St
Oakland, CA 94608-3124
Phone (650) 219-5689
Other practice location 1
2501 Harrison St
Oakland, CA 94612-3811
Phone (510) 444-3344 ext. 2222
Other practice location 2
6536 Telegraph Ave Ste C102
Oakland, CA 94609-1398
Phone (510) 496-6002 ext. 4
Other practice location 3
13925 San Pablo Ave Ste 203
San Pablo, CA 94806-3676
Phone (510) 778-8114
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 |
|---|---|---|---|
| 125941 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oakland Counseling Center | Past | Accepting new patients | |
| John F. Kennedy University | Marriage & Family Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Marriage & Family Therapist
- Oakland, CA
- NPI 1871954388
-
- Case Management Agency
- Oakland, CA
- NPI 1053956755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628553600000",
"number": "1487194627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "934 56TH ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946083124",
"telephone_number": "650-219-5689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3036 REGENT ST",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052551",
"telephone_number": "650-219-5689"
}
],
"practiceLocations": [
{
"address_1": "2501 Harrison St",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946123811",
"country_code": "US",
"telephone_number": "510-444-3344 x2222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6536 Telegraph Ave Ste C102",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946091398",
"country_code": "US",
"telephone_number": "510-496-6002 x4",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13925 San Pablo Ave Ste 203",
"address_purpose": "LOCATION",
"city": "San Pablo",
"state": "CA",
"postal_code": "948063676",
"country_code": "US",
"telephone_number": "510-778-8114",
"fax_number": "510-778-8255",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RANDT",
"first_name": "JENNIFER",
"middle_name": "LYNNE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-07",
"last_updated": "2021-08-10",
"certification_date": "2021-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "125941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.