Jennifer Lee Starks, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT101980 Issued in CA

Practice address

403 W 11TH St Ste a
Tracy, CA 95376-3816

Phone

(209) 222-8802

Fax

(209) 255-4536

NPI assigned

Aug 5, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Thrive Community Family Therapy Services

  • Marriage & Family Therapist
  • Tracy, CA
  • NPI 1568974244

  Mental Health

  Medicare reassignment NPD Authorized official
• Jjireh Licensed Clinical Social Worker, Inc.

  • Community/Behavioral Health Agency
  • Tracy, CA
  • NPI 1639546120
  NPD (past)

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1801272448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19663 MOUNTAIN HOUSE PKWY STE 333",
            "city": "MOUNTAIN HOUSE",
            "state": "CA",
            "postal_code": "953918042",
            "telephone_number": "209-222-8802",
            "fax_number": "209-255-4536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 W 11TH ST STE A",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763816",
            "telephone_number": "209-222-8802",
            "fax_number": "209-255-4536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARKS",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-05",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LMFT101980",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT101980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1628542",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alahna Stabler
• Zoie Stafford
• Alexis Stallworth
• Julia Stapleton
• Riviera Stark-Berry
• Talyn Steffens
• Rene Gilberto Steinhauer III, FNP
• Stephen M. Tsang MD, Inc., a Professional Corporation
• James G. Stephen, MD
• Monica Lynnette G Stoffer, M.D.

• Marriage & Family Therapist in Tracy, CA
• Providers in Tracy, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.