Active NPI
Jennifer Jessie Benson, LMFT #86969
- Marriage & Family Therapist
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT86969
- Practice address
- 311 California St
Suite 750
San Francisco, CA 94104 - Phone
- (707) 880-8622
- NPI assigned
- Jan 11, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT86969 | CA | Primary |
Addresses
Primary practice location
311 California St
Suite 750
San Francisco, CA 94104
Mailing address
2010-A Harbison Dr # 221
Vacaville, CA 95687
Phone (707) 880-8622
Other practice location 1
401 Nut Tree Rd
Vacaville, CA 95687-3508
Phone (707) 453-6961 ext. 1139
Other practice location 2
400 Boyd St Ste B
Vacaville, CA 95688-4522
Phone (707) 880-8622
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86969 | CA | MD | Mental Health Counselor |
| LMFT86969 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permanente Medical Group, Inc | Current | Accepting new patients | |
| Permanente Medical Group Inc | Current | Accepting new patients | |
| Permanente Medical Group Inc | Current | Accepting new patients |
Locations
750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131
520 Chadbourne Rd
Fairfield, CA 94534
Phone (707) 366-3600
4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738
900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014
101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
930 W Main St
Ripon, CA 95366
Phone (209) 599-4221
501 J St
Sacramento, CA 95814
Phone (916) 497-3000
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Santa Clara, CA
- NPI 1073606299
-
- Internal Medicine Physician
- Stockton, CA
- NPI 1548343510
-
- Clinical Medical Laboratory
- San Jose, CA
- NPI 1497971584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1922378751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2010-A HARBISON DR # 221",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "95687",
"telephone_number": "707-880-8622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 CALIFORNIA ST",
"address_2": "SUITE 750",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94104",
"telephone_number": "707-880-8622"
}
],
"practiceLocations": [
{
"address_1": "401 Nut Tree Rd",
"address_purpose": "LOCATION",
"city": "Vacaville",
"state": "CA",
"postal_code": "956873508",
"country_code": "US",
"telephone_number": "707-453-6961 x1139",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 Boyd St Ste B",
"address_purpose": "LOCATION",
"city": "Vacaville",
"state": "CA",
"postal_code": "956884522",
"country_code": "US",
"telephone_number": "707-880-8622",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENSON",
"first_name": "JENNIFER",
"middle_name": "JESSIE",
"name_prefix": "Ms.",
"credential": "LMFT #86969",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-11",
"last_updated": "2022-07-21",
"certification_date": "2021-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT86969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.