Individual provider Active NPI

Yolanda Jenkins

  • Marriage & Family Therapist
  • Santa Clara, CA
National Provider Identifier
1912401423
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
144529 Issued in CA
Practice address
5201 Great America Pkwy
Ste 320 Pmb236
Santa Clara, CA 95054
Phone
(323) 676-7425
NPI assigned
Mar 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 116324 CA
Student in an Organized Health Care Education/Training Program 390200000X
Marriage & Family Therapist 106H00000X 144529 CA Primary

Addresses

Primary practice location

5201 Great America Pkwy
Ste 320 Pmb236
Santa Clara, CA 95054

Mailing address

5201 Great America Pkwy
Ste 320 Pmb236
Santa Clara, CA 95054

Other practice location 1

9400 Ruffin Ct
San Diego, CA 92123-5300
Phone (858) 357-6879 ext. 318

Other practice location 2

2865 Logan Ave
San Diego, CA 92113-2411
Phone (619) 275-0822 ext. 32

Other practice location 3

3288 El Cajon Blvd Ste 13
San Diego, CA 92104-1430
Phone (619) 521-5720 ext. 318

Other practice location 4

1153 Oak St
San Francisco, CA 94117-2216
Phone (415) 431-9000 ext. 1108

Other identifiers 1

IdentifierTypeStateIssuer
3704MedicaidCA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240521001174 CA Practitioner - Marriage and Family Therapist 9638511819 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Forward Wellness Family Therapy, Inc. CurrentSince Apr 4, 2024 Accepting new patients

Locations

1041 E Yorba Linda Blvd
Ste 202
Placentia, CA 92870
Phone (714) 579-0717

Organizations & group practices 1

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": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1912401423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 GREAT AMERICA PKWY",
            "address_2": "STE 320 PMB236",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "95054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 GREAT AMERICA PKWY",
            "address_2": "STE 320 PMB236",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "95054",
            "telephone_number": "323-676-7425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9400 Ruffin Ct",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921235300",
            "country_code": "US",
            "telephone_number": "858-357-6879 x318",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2865 Logan Ave",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921132411",
            "country_code": "US",
            "telephone_number": "619-275-0822 x32",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3288 El Cajon Blvd Ste 13",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921041430",
            "country_code": "US",
            "telephone_number": "619-521-5720 x318",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1153 Oak St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941172216",
            "country_code": "US",
            "telephone_number": "415-431-9000 x1108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "YOLANDA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-20",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "116324",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "144529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3704",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

Verify at the official NPI Registry.