Individual provider Active NPI

Trina Maria Rodriguez-Jensen

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1629108089
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
92502 Issued in CA
Practice address
3845 N Clark St Ste 201
Fresno, CA 93726-4842
Phone
(559) 216-2121
Fax
(559) 457-1188
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 92502 CA Primary

Addresses

Primary practice location

3845 N Clark St Ste 201
Fresno, CA 93726-4842

Mailing address

3845 N Clark St Ste 201
Fresno, CA 93726-4842
Phone (559) 216-2121

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

LicenseStateTypeSpecialty
92502CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Resiliency Center of Fresno Marriage & Family Therapist CurrentSince May 1, 2022 Accepting new patients
Peace Officers Chaplaincy of Fresno County Marriage & Family Therapist PastSince Jul 25, 2019 Accepting new patients

Locations

3845 N Clark St
Ste 201
Fresno, CA 93726
Phone (559) 492-2266

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.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1629108089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3845 N CLARK ST STE 201",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937264842",
            "telephone_number": "559-216-2121",
            "fax_number": "559-457-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3845 N CLARK ST STE 201",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937264842",
            "telephone_number": "559-216-2121",
            "fax_number": "559-457-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ-JENSEN",
        "first_name": "TRINA",
        "middle_name": "MARIA",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "92502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.