Individual provider Active NPI

Jennifer Boss Kinser

  • Mental Health Counselor
  • Modesto, CA
National Provider Identifier
1700215308
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
627 13TH St Ste E
Modesto, CA 95354-2448
Phone
(209) 753-9944
NPI assigned
Nov 4, 2013
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 137499 CA
Mental Health Counselor 101YM0800X Primary
Mental Health Counselor 101YM0800X 120812 CA

Addresses

Primary practice location

627 13TH St Ste E
Modesto, CA 95354-2448

Mailing address

4641 Spyres Way Ste 4
Modesto, CA 95356-9802
Phone (209) 753-9944

Other practice location 1

4641 Spyres Way Ste 4
Modesto, CA 95356-9802
Phone (209) 753-9944

Other practice location 2

1101 Standiford Ave Ste B5
Modesto, CA 95350-0981
Phone (209) 202-3747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240514004187 CA Practitioner - Marriage and Family Therapist 8729429253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
An Elegant Sufficiency a Psychological CorporationGroup PAC ID 7315359445, 9 clinicians

Practice addresses (Care Compare)

2431 W March LN
Suite 200
Stockton, CA 95207-8211
Phone (877) 693-3357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
120812CAMDMental Health Counselor
137499CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
An Elegant Sufficiency, a Psychological Corporation CurrentSince Apr 2, 2024 Accepting new patients
Root to Rise, Marriage Family Therapy Marriage & Family Therapist CurrentSince Nov 18, 2025 Accepting new patients

Locations

1101 Standiford Ave
Ste B5
Modesto, CA 95350
Phone (209) 200-8305

627 13th St
Ste E
Modesto, CA 95354
Phone (209) 496-7951

4641 Spyres Way
Ste 4
Modesto, CA 95356

5250 Claremont Ave
Ste 118
Stockton, CA 95207
Phone (209) 200-8305

2431 W March Ln
Ste 200
Stockton, CA 95207
Phone (209) 200-8305

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1700215308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4641 SPYRES WAY STE 4",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569802",
            "telephone_number": "209-753-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 13TH ST STE E",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953542448",
            "telephone_number": "209-753-9944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4641 Spyres Way Ste 4",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953569802",
            "country_code": "US",
            "telephone_number": "209-753-9944",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 Standiford Ave Ste B5",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953500981",
            "country_code": "US",
            "telephone_number": "209-202-3747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOSS KINSER",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-04",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "137499",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "120812",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.