Individual provider Active NPI

Jennifer Wentz, MFT

  • Marriage & Family Therapist
  • Pleasant Hill, CA
National Provider Identifier
1932414158
Registry record updated Aug 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 44502 Issued in CA
Practice address
101 Gregory LN
Suite 33
Pleasant Hill, CA 94523-4982
Phone
(925) 827-9876
Fax
(925) 827-1008
NPI assigned
Aug 12, 2010
Last updated
Aug 12, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC 44502 CA Primary

Addresses

Primary practice location

101 Gregory LN
Suite 33
Pleasant Hill, CA 94523-4982

Mailing address

101 Gregory LN
Suite 33
Pleasant Hill, CA 94523-4982
Phone (925) 827-9876

Other names 1

  • Mrs. Jennifer McKay Former name

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
MFC 44502CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rubino Counseling Services Marriage & Family Therapist Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281571200000",
    "number": "1932414158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 GREGORY LN",
            "address_2": "SUITE 33",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945234982",
            "telephone_number": "925-827-9876",
            "fax_number": "925-827-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 GREGORY LN",
            "address_2": "SUITE 33",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945234982",
            "telephone_number": "925-827-9876",
            "fax_number": "925-827-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENTZ",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-12",
        "last_updated": "2010-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 44502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MCKAY",
            "prefix": "MRS.",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pleasant Hill, CA

Sources for this page

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