Jennifer Couture, MS, MFT 90337
Individual provider Active NPI Marriage & Family Therapist · Kentfield, CA
NPI 1962765800 · NPPES record last updated Apr 26, 2016
Key facts
- NPI
- 1962765800
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- Practice address
- 905 Sir Francis Drake Blvd
Suite F
Kentfield, CA 94904-1588 - Phone
- (415) 578-0588
- NPI assigned
- Jun 15, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 90337 | CA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Yes |
Addresses
Primary practice location
905 Sir Francis Drake Blvd
Suite F
Kentfield, CA 94904-1588
Mailing address
905 Sir Francis Drake Blvd
Suite F
Kentfield, CA 94904-1588
Other providers in Kentfield, CA
- Collette Psychological Services, Inc.
- Emily Collette
- Susan Mary Collins
- Michael James Constantino
- Beth Lesley Cook
- John Elton Cranshaw
- Jane Cunningham
- Josie Dameyer
- Danila Musante
- Kelsey Faith Diane Darnielle
All providers in Kentfield, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.