Individual provider Active NPI

Jennifer Lynn Wellenstein

  • Marriage & Family Therapist
  • Rancho Cordova, CA
National Provider Identifier
1790811552
Registry record updated Apr 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
85018 Issued in CA
Practice address
10850 Gold Center Dr Ste 325
Rancho Cordova, CA 95670-6177
Phone
(916) 364-8395
NPI assigned
Feb 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Marriage & Family Therapist 106H00000X 85018 CA Primary

Addresses

Primary practice location

10850 Gold Center Dr Ste 325
Rancho Cordova, CA 95670-6177

Mailing address

1830 Sierra Gardens Dr Ste 10
Roseville, CA 95661-2942
Phone (916) 786-3750

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
85018CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Turning Point Community Programs PastSince Apr 17, 2020 Accepting new patients
Turning Point Community Programs PastSince Apr 17, 2020 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1790811552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 SIERRA GARDENS DR STE 10",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612942",
            "telephone_number": "916-786-3750",
            "fax_number": "916-786-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10850 GOLD CENTER DR STE 325",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956706177",
            "telephone_number": "916-364-8395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLENSTEIN",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "85018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cordova, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; 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.