Individual provider Active NPI

Jennifer Anne Alexander, M.A. PSYCHOLOGY

  • Marriage & Family Therapist
  • Diamond Springs, CA
National Provider Identifier
1780807602
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
46533 Issued in CA
Practice address
4250 Fowler LN
Suite #204
Diamond Springs, CA 95619-9781
Phone
(530) 391-9918
Fax
(530) 626-2589
NPI assigned
Apr 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2013

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 46533 CA Primary

Addresses

Primary practice location

4250 Fowler LN
Suite #204
Diamond Springs, CA 95619-9781

Mailing address

PO Box 1987
Diamond Springs, CA 95619-1987
Phone (530) 391-9918

Other names 1

  • Ms. Jennifer Alexander Bond-Alexander 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
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358294400000",
    "number": "1780807602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1987",
            "city": "DIAMOND SPRINGS",
            "state": "CA",
            "postal_code": "956191987",
            "telephone_number": "530-391-9918",
            "fax_number": "530-626-2589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 FOWLER LN",
            "address_2": "SUITE #204",
            "city": "DIAMOND SPRINGS",
            "state": "CA",
            "postal_code": "956199781",
            "telephone_number": "530-391-9918",
            "fax_number": "530-626-2589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "M.A. PSYCHOLOGY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2013-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "46533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BOND-ALEXANDER",
            "middle_name": "ALEXANDER",
            "prefix": "MS.",
            "credential": "M.A. PSYCHOLOGY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Diamond Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.