Individual provider Active NPI

Jessica Lynn Rowinsky, LCSW 129530

  • Mental Health Counselor
  • Santa Rosa, CA
National Provider Identifier
1871000547
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
129530 Issued in CA
Practice address
1553 13TH St
Santa Rosa, CA 95404-3915
Phone
(650) 847-9880
NPI assigned
Jan 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 129530 CA Primary

Addresses

Primary practice location

1553 13TH St
Santa Rosa, CA 95404-3915

Mailing address

1553 13TH St
Santa Rosa, CA 95404-3915
Phone (650) 847-9880

Other identifiers 2

IdentifierTypeStateIssuer
1871000547OtherCACMS
LCSW129530OtherCABOARD OF BEHAVIORAL SERVICES

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
129530CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1515024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1871000547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1553 13TH ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954043915",
            "telephone_number": "650-847-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1553 13TH ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954043915",
            "telephone_number": "650-847-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWINSKY",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "LCSW 129530",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-04",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "129530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS",
            "identifier": "1871000547",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF BEHAVIORAL SERVICES",
            "identifier": "LCSW129530",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.