Individual provider Active NPI

Jennine Marie Markiewicz, LMFT

  • Marriage & Family Therapist
  • Berkeley, CA
National Provider Identifier
1770879777
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT87586 Issued in CA
Practice address
2105 Martin Luther King Jr Way FL 1
Berkeley, CA 94704-1108
Phone
(888) 588-8995
Fax
(510) 756-0812
NPI assigned
Jun 28, 2011
Last updated
Apr 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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 LMFT87586 CA Primary

Addresses

Primary practice location

2105 Martin Luther King Jr Way FL 1
Berkeley, CA 94704-1108

Mailing address

PO Box 530077
Atlanta, GA 30353-0077
Phone (888) 588-8995

Other practice location 1

1000 G St Ste 125
Sacramento, CA 95814-0894
Phone (888) 588-8995

Other names 1

  • Jennine Marie Stuertz Former name

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
LMFT87586CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Foresight Mental Health Marriage & Family Therapist PastSince Nov 19, 2023 Accepting new patients

Organizations & group practices 1

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": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1770879777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530077",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303530077",
            "telephone_number": "888-588-8995",
            "fax_number": "510-756-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 MARTIN LUTHER KING JR WAY FL 1",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041108",
            "telephone_number": "888-588-8995",
            "fax_number": "510-756-0812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 G St Ste 125",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958140894",
            "country_code": "US",
            "telephone_number": "888-588-8995",
            "fax_number": "510-756-0812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARKIEWICZ",
        "first_name": "JENNINE",
        "middle_name": "MARIE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-28",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT87586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNINE",
            "last_name": "STUERTZ",
            "middle_name": "MARIE",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.