Jennifer V. Tercero

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

112288 Issued in CA

Practice address

509 13TH St Ste 5
Modesto, CA 95354-2444

Phone

(209) 581-7103

NPI assigned

Aug 15, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1508114943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 13TH ST STE 5",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953542444",
            "telephone_number": "209-581-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 13TH ST STE 5",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953542444",
            "telephone_number": "209-581-7103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 I St Ste 2002nd",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953541110",
            "country_code": "US",
            "telephone_number": "888-376-6246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERCERO",
        "first_name": "JENNIFER",
        "middle_name": "V.",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-15",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "112288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yu an Teng, M.D.
• Janine Grace Lastimosa Tennant, PHARM.D.
• Kyon Maung Teo, DDS
• Juan Carlos Teran Jr.
• Sheldon Haruo Teranishi
• Sergey Tereshchenko, AMFT
• Berhanu Chane Tesfaye, M.D.
• Gregory Clifton Tesluk, MD
• Margaret Tesluk, CRNA
• Allison Test

• Marriage & Family Therapist in Modesto, CA
• Providers in Modesto, 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 Apr 1, 2025; 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.