Active NPI
Jennifer Rider
- School Counselor
- Mariposa, CA
National Provider Identifier
1639045545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 250004476
- Practice address
- 5074 Old Hwy N
Mariposa, CA 95338-2430 - Phone
- (209) 742-0260
- Fax
- (209) 742-0264
- NPI assigned
- Oct 16, 2025
- 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 |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 250004476 | CA | Primary |
Addresses
Primary practice location
5074 Old Hwy N
Mariposa, CA 95338-2430
Mailing address
PO Box 1297
Mariposa, CA 95338-1297
Phone (209) 742-0260
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 |
|---|---|---|---|
| 250004476 | CA | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760572800000",
"number": "1639045545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1297",
"city": "MARIPOSA",
"state": "CA",
"postal_code": "953381297",
"telephone_number": "209-742-0260",
"fax_number": "209-742-0264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5074 OLD HWY N",
"city": "MARIPOSA",
"state": "CA",
"postal_code": "953382430",
"telephone_number": "209-742-0260",
"fax_number": "209-742-0264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDER",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-16",
"last_updated": "2025-10-16",
"certification_date": "2025-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, School",
"state": "CA",
"license": "250004476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mariposa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.