MR. MARK ANTHONY JEFFERSON JR. (NPI# 1285160572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285160572 |
| Entity Type | Individual |
| Full Name | MR. MARK ANTHONY JEFFERSON JR. |
| Credential | MFTI |
| Practice Address |
126 W 25th Ave Suite 200 San Mateo CA 94403-2208 |
| Practice Telephone | 5104095391 |
| Mailing Telephone | 5104095391 |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2017-05-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | IMF98404 | CA | Behavioral Health & Social Service Providers |
| Street Address |
126 W 25TH AVE SUITE 200 |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94403-2208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396895736 | Leia M Austin | Marriage & Family Therapist | 126 W 25th Ave, San Mateo, CA 94403-2208 | 2007-01-10 |
| 1760912497 | Candice Taylor Pochini | Marriage & Family Therapist | 126 W 25th Ave, San Mateo, CA 94403-2208 | 2017-06-15 |
| 1437698628 | Andrea Therese Chiang | Marriage & Family Therapist | 126 W 25th Ave, San Mateo, CA 94403-2208 | 2017-02-21 |
| 1891141800 | Brianna Cheri Bitz | Counselor | 126 W 25th Ave, Suite 202, San Mateo, CA 94403-2208 | 2016-05-09 |
| 1154661379 | Courtney Claire Lemmon | Counselor | 126 W 25th Ave, San Mateo, CA 94403-2208 | 2013-02-25 |
| 1255687091 | Amanda Castelli | Marriage & Family Therapist | 126 W 25th Ave, San Mateo, CA 94403-2208 | 2012-07-30 |
| 1790049526 | Tiffany Pitcher | Marriage & Family Therapist | 126 W 25th Ave, San Mateo, CA 94403-2208 | 2012-06-26 |
| 1285916940 | Katherine Elizabeth Warner | Student in an Organized Health Care Education/Training Program | 126 W 25th Ave, Suite 202, San Mateo, CA 94403-2208 | 2011-09-19 |
| 1659678407 | Elizabeth Abbott Keefer | Social Worker | 126 W 25th Ave, San Mateo, CA 94403-2208 | 2011-02-14 |
| 1225331960 | Sonia E. Gomez | Counselor | 126 W 25th Ave, Suite 202, San Mateo, CA 94403-2208 | 2010-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710520903 | Happy Enerqi LLC | Acupuncturist | 5 43rd Ave, San Mateo, CA 94403 | 2019-10-21 |
| 1740840396 | Vincent Wing Ching Fong | Marriage & Family Therapist | 2600 S. El Camino Real Suite 200, San Mateo, CA 94403 | 2019-06-17 |
| 1861056426 | Denise Gaytan | Licensed Vocational Nurse | 2600 El Camino, San Mateo, CA 94403 | 2019-04-29 |
| 1134686991 | Connie Markoff | Counselor | 3827 Fernwood St, San Mateo, CA 94403 | 2019-02-27 |
| 1467965392 | Happyqi Inc | Acupuncturist | 5 43rd Ave., San Mateo, CA 94403 | 2017-11-14 |
| 1710403092 | John Luu | Chiropractor | 3153 Campus Dr, San Mateo, CA 94403 | 2017-08-17 |
| 1477009033 | Latifunisa Lilani | Community Health Worker | 2600 El Camino Real, San Mateo, CA 94403 | 2016-09-01 |
| 1881029874 | Juan Carlos Friesen | Licensed Vocational Nurse | 2600 S. El Camino, Suite #200, San Mateo, CA 94403 | 2013-09-09 |
| 1619300423 | Emily Rodda | Nurse Practitioner | 222 W. 39th Avenue, San Mateo Medical Center - Pediatric Clinic, San Mateo, CA 94403 | 2013-08-15 |
| 1619309549 | Maria Lucila Echeverria-bustios | Counselor | 1911 Ivy St., San Mateo, CA 94403 | 2013-08-02 |
| Find all providers in zip 94403 | ||||
| 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 |
|---|---|---|---|---|
| 1609412865 | Cindy Toshiko Hedlin | Marriage & Family Therapist | 1117 S. B Street, Suite 9, San Mateo, CA 94401 | 2019-11-22 |
| 1740840396 | Vincent Wing Ching Fong | Marriage & Family Therapist | 2600 S. El Camino Real Suite 200, San Mateo, CA 94403 | 2019-06-17 |
| 1508423872 | Moby Coquillard | Marriage & Family Therapist | 1777 Borel Pl Ste 214, San Mateo, CA 94402-3511 | 2019-05-22 |
| 1437610995 | Rebecca Lee Kolker Zhang | Marriage & Family Therapist | 1660 S Amphlett Blvd Ste 217, San Mateo, CA 94402-2508 | 2019-03-27 |
| 1851867881 | Dayna E Reader | Marriage & Family Therapist | 1720 S Amphlett Blvd Ste 220c, San Mateo, CA 94402-2713 | 2018-10-17 |
| 1275030694 | Helen Crawford | Marriage & Family Therapist | 700 S Claremont St Ste 107, San Mateo, CA 94402-1447 | 2018-04-11 |
| 1811499726 | Michelle Sonnenschein | Marriage & Family Therapist | 205 E 3rd Ave Ste 403, San Mateo, CA 94401-4050 | 2018-03-07 |
| 1073020202 | Kristin Donato | Marriage & Family Therapist | 205 E 3rd Ave Ste 203, San Mateo, CA 94401-4028 | 2018-01-09 |
| 1235650979 | Melanie Lynn Stauffer | Marriage & Family Therapist | 1710 S Amphlett Blvd Ste 210c, San Mateo, CA 94402-2705 | 2017-07-03 |
| 1346778875 | Barbara Reynolds Sky | Marriage & Family Therapist | 1117 S B St Ste 9, San Mateo, CA 94401-4351 | 2017-05-29 |
| Find all providers in SAN MATEO | ||||
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| 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.