Jennifer Dawn Tripathy, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC 44796 Issued in CA

Practice address

10 N San Pedro Rd
Suite 1020
San Rafael, CA 94903-4178

Phone

(415) 473-2502

Fax

(415) 473-4307

NPI assigned

Jul 16, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• County of Marin

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Rafael, CA
  • NPI 1326258856
  NPD (past)

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279238400000",
    "number": "1922311174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 N SAN PEDRO RD",
            "address_2": "SUITE 1020",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949034178",
            "telephone_number": "415-473-2502",
            "fax_number": "415-473-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 N SAN PEDRO RD",
            "address_2": "SUITE 1020",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949034178",
            "telephone_number": "415-473-2502",
            "fax_number": "415-473-4307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIPATHY",
        "first_name": "JENNIFER",
        "middle_name": "DAWN",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-16",
        "last_updated": "2010-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 44796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercedes Traverso, D.O.
• Trca Services LLC
• Catherine B. Treseler, MD
• Kaitlyn Trimarchi
• Michael Triolo
• Melissa Jacqueline Troncin-D'Amore
• Ann Troy, M.D.
• Kathleen Rosalind Truax, MFT
• Alberto Gabriel Trujillo, PEER SPECIALIST
• Krisna Truong

• Marriage & Family Therapist in San Rafael, CA
• Providers in San Rafael, 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 Jul 16, 2010; 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.