JENNI RENE GORDON (NPI# 1194121913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194121913 |
| Entity Type | Individual |
| Full Name | JENNI RENE GORDON |
| Other Name | JENNI RENE ODELL |
| Credential | MA, LMFT |
| Practice Address |
353 Park Marina Cir Redding CA 96001-0965 |
| Practice Telephone | 5303550115 |
| Practice Fax Number | 5302459222 |
| Mailing Telephone | 5303550115 |
| Mailing Fax Number | 5302459222 |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2019-10-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | LMFT90971 | CA | Behavioral Health & Social Service Providers |
| Street Address |
353 PARK MARINA CIR |
| City | REDDING |
| State | CA |
| Zip Code | 96001-0965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023151065 | Kathryn Lee Rehberg | Psychologist | 353 Park Marina Cir, Redding, CA 96001-0965 | 2007-02-15 |
| 1821603614 | Heather Jenae Smith | Marriage & Family Therapist | 353 Park Marina Cir, Redding, CA 96001-0965 | 2020-09-09 |
| 1598378911 | Sean Nikolas Kuyper | Marriage & Family Therapist | 353 Park Marina Cir, Redding, CA 96001-0965 | 2020-08-25 |
| 1619445384 | Hanna Kuyper | Marriage & Family Therapist | 353 Park Marina Cir, Redding, CA 96001-0965 | 2018-11-11 |
| 1083108997 | Steps To Tomorrow | Counselor | 353 Park Marina Cir, Redding, CA 96001-0965 | 2018-06-15 |
| 1801303011 | Karen Patterson Wecker | Marriage & Family Therapist | 353 Park Marina Cir, Redding, CA 96001-0965 | 2018-01-09 |
| 1508301391 | Susan Vonasek | Marriage & Family Therapist | 353 Park Marina Cir, Redding, CA 96001-0965 | 2017-01-03 |
| 1154870004 | Raenna Fisher | Marriage & Family Therapist | 353 Park Marina Cir, Redding, CA 96001-0965 | 2016-10-03 |
| 1487058483 | Kimberly Dawn Ross | Marriage & Family Therapist | 353 Park Marina Cir, Redding, CA 96001-0965 | 2014-10-20 |
| 1821232463 | Sarah J. Parker | Marriage & Family Therapist | 353 Park Marina Cir, Redding, CA 96001-0965 | 2009-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651266 | Vanessa Louise Banda | Social Worker | 1544 Magnolia Avenue, Redding, CA 96001 | 2018-12-21 |
| 1184194672 | Marie Sherrick | Licensed Vocational Nurse | 2030 Elreno Lane, Redding, CA 96001 | 2018-11-28 |
| 1699257857 | Prorehab Physical Therapy and Sports Performance, Inc | Physical Therapist | 3673 Eureka Way, Redding, CA 96001 | 2018-09-05 |
| 1316456833 | Jennifer Rose Goehring | Counselor | 1310 Continental Street, Redding, CA 96001 | 2017-09-27 |
| 1891224440 | Audrey Cutler | Social Worker | 1313 Yuba St., Redding, CA 96001 | 2017-06-07 |
| 1184167991 | Calafia Holdings LLC | Skilled Nursing Facility | 1836 Gold Street, Redding, CA 96001 | 2016-11-28 |
| 1194272369 | Shasta County | Clinic/Center | 2950 Polk Street, Rooms 2, 3, 4, Redding, CA 96001 | 2016-09-06 |
| 1417329236 | Shari Hayden | Specialist/Technologist, Other | 2111 Air Park Dr, Redding, CA 96001 | 2015-10-21 |
| 1679951982 | Shasta Hearing Aids | Health Maintenance Organization | 900 Butte St, Redding, CA 96001 | 2015-05-07 |
| 1073919171 | Native American Mental Health Services Corporation | Psychiatry & Neurology | 1742 Oregon Street, Redding, CA 96001 | 2014-11-17 |
| Find all providers in zip 96001 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083463 | John Nelson | Marriage & Family Therapist | 4625 Mountain Lakes Blvd, Redding, CA 96003-1450 | 2020-11-08 |
| 1871117168 | Katherine Marie Rauch | Marriage & Family Therapist | 20420 Greenview Dr, Redding, CA 96002-9667 | 2020-06-02 |
| 1922627850 | Lynn Minnea Newman | Marriage & Family Therapist | 6280 Oasis Rd, Redding, CA 96003-9701 | 2020-04-10 |
| 1710527692 | Kelli Lynn Lull | Marriage & Family Therapist | 1845 Wheeler St # 2, Redding, CA 96002-1403 | 2020-01-08 |
| 1912542903 | Jillian Lee Tyson | Marriage & Family Therapist | 1405 Victor Ave Ste D, Redding, CA 96003-4859 | 2019-11-13 |
| 1912559071 | Kelsey Wise | Marriage & Family Therapist | 5601 Eastside Rd, Redding, CA 96001-4531 | 2019-07-09 |
| 1427618917 | Hannah Wilson | Marriage & Family Therapist | 1650 Oregon St Ste 16, Redding, CA 96001-1701 | 2019-06-17 |
| 1851860829 | Cory Beard | Marriage & Family Therapist | 1905 Park Marina Dr, Redding, CA 96001-0962 | 2018-11-19 |
| 1831601731 | Mary Zupancic Nagashima | Marriage & Family Therapist | 1647 Hartnell Ave Ste 14, Redding, CA 96002-2268 | 2017-11-01 |
| 1790201119 | Nancy Ellen Zinn | Marriage & Family Therapist | 1452 Oregon St Ste 102, Redding, CA 96001-1620 | 2017-08-17 |
| Find all providers in REDDING | ||||
Please comment or provide details below to improve the information on JENNI RENE GORDON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.