Jennifer Bartlett Wendell, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

24669 Issued in CA

Practice address

2603 Camino Ramon Ste 200
San Ramon, CA 94583-9137

Phone

(925) 307-9701

NPI assigned

Apr 18, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1902549926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 PAMPLONA CT",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945832222",
            "telephone_number": "510-326-8167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 CAMINO RAMON STE 200",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945839137",
            "telephone_number": "925-307-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDELL",
        "first_name": "JENNIFER",
        "middle_name": "BARTLETT",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-18",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "24669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "activecoachingandcounseling.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "2603 Camino Ramon Ste 200",
            "city": "San Ramon",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945839137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kaitlyn Weiman
• Jill a Andrea Weinberg, AMFT
• Natalie Elizabeth Weinmeister
• Wellness Express Clinic
• Wellness Within
• Kaylie Wendt
• Jocelyn Paige Werner, M.D.
• Polly Jean Werner, OTR/L
• Renee A Werner, M.A.
• Theresa Ann Wessler

• Mental Health Counselor in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.