Individual provider Active NPI

Jessica Hyles, LMFT

  • Marriage & Family Therapist
  • Santa Rosa, CA
National Provider Identifier
1992103865
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
141163 Issued in CA
Practice address
5585 Newanga Ave
Santa Rosa, CA 95405-7431
Phone
(707) 582-5482
NPI assigned
Dec 9, 2014
Last updated
Nov 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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 141163 CA Primary

Addresses

Primary practice location

5585 Newanga Ave
Santa Rosa, CA 95405-7431

Mailing address

708 Hwy 116 N
PMB 76
Sebastopol, CA 95472-2808
Phone (707) 582-5482

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1992103865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 HWY 116 N",
            "address_2": "PMB 76",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954722808",
            "telephone_number": "707-582-5482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5585 NEWANGA AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057431",
            "telephone_number": "707-582-5482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYLES",
        "first_name": "JESSICA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-09",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "141163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.