Active NPI
Gerald R. Jurgenson, PH.D., MFT
- Marriage & Family Therapist
- Chico, CA
National Provider Identifier
1710923701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 30014
- Practice address
- 95 Declaration Dr
Ste. 2
Chico, CA 95973-4916 - Phone
- (530) 891-4251
- NPI assigned
- Jun 20, 2006
- Sex
- Male
- 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 | MFC 30014 | CA | Primary |
Addresses
Primary practice location
95 Declaration Dr
Ste. 2
Chico, CA 95973-4916
Mailing address
P.O. Box 3310
Paradise, CA 95967-3310
Phone (530) 891-4251
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 30014 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710923701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 3310",
"city": "PARADISE",
"state": "CA",
"postal_code": "959673310",
"telephone_number": "530-891-4251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 DECLARATION DR",
"address_2": "STE. 2",
"city": "CHICO",
"state": "CA",
"postal_code": "959734916",
"telephone_number": "530-891-4251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JURGENSON",
"first_name": "GERALD",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "PH.D., MFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 30014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.