Individual provider Active NPI

Jennifer M Stone, LMFT

  • Marriage & Family Therapist
  • Rocklin, CA
National Provider Identifier
1952536203
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
94470 Issued in CA
Practice address
5802 Addax CT
Rocklin, CA 95765-6280
Phone
(949) 383-7718
NPI assigned
May 15, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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 94470 CA Primary

Addresses

Primary practice location

5802 Addax CT
Rocklin, CA 95765-6280

Mailing address

23986 Aliso Creek Rd # 1050
Laguna Niguel, CA 92677-3908
Phone (949) 383-7718

Other identifiers 2

IdentifierTypeStateIssuer
1312294MedicaidMA
86-3235164OtherCALMFT S CORP

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
94470CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Stone, Marriage and Family Therapy, Inc. Marriage & Family Therapist CurrentSince Dec 29, 2024 Accepting new patients
Satori Recovery Center LLC Past Accepting new patients

Locations

23986 Aliso Creek Rd
Laguna Niguel, CA 92677
Phone (714) 514-5855

Organizations & group practices 2

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": "1242345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1952536203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23986 ALISO CREEK RD # 1050",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926773908",
            "telephone_number": "949-383-7718",
            "fax_number": "949-449-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5802 ADDAX CT",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957656280",
            "telephone_number": "949-383-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-15",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "94470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1312294",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMFT S CORP",
            "identifier": "86-3235164",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocklin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.