JENNIFER AMANDA GROSS (NPI# 1467067058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467067058 |
| Entity Type | Individual |
| Full Name | JENNIFER AMANDA GROSS |
| Credential | AMFT |
| Practice Address |
2600 S El Camino Real Ste 200 San Mateo CA 94403-2382 |
| Mailing Address |
Po Box 8224 Foster City CA 94404-8224 |
| Practice Telephone | 6503724080 |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | AMFT118072 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558801555 | Jennifer Bragg Gross | Physical Therapist | 3855 Shallowford Rd Ste 415, Marietta, GA 30062-4197 | 2017-02-24 |
| 1730549635 | Jennifer Leigh Gross | Speech-Language Pathologist | 543 General Cruft Dr, Richmond, KY 40475-7520 | 2016-03-04 |
| 1902283336 | Jennifer Gross | Counselor | 3161 Custer Dr Ste 4, Lexington, KY 40517-4067 | 2015-05-06 |
| 1043645328 | Jennifer Elaine Gross | Physical Therapist | 653 N La Nae Cir, Orange, CA 92869-2514 | 2013-09-05 |
| 1235281395 | Jennifer Gross | Occupational Therapist | 1410 W Daisy L Gatson Bates Dr, Little Rock, AR 72202-5434 | 2007-01-17 |
| 1841369618 | Jennifer Lynn Gross | Nurse Practitioner | 7350 Lakota Springs Dr, West Chester, OH 45069-5408 | 2006-11-07 |
| 1023197951 | Jennifer Marie Gross | Counselor | 1902 120th Pl Se Ste 102b, Everett, WA 98208-8400 | 2006-11-02 |
| 1861013047 | Jennifer Gross | Speech-Language Pathologist | 8101 Boat Club Rd Ste 160, Fort Worth, TX 76179-3631 | 2020-04-29 |
| 1114564648 | Jennifer Gross | Counselor | 280 E Thousand Oaks Blvd Ste D, Thousand Oaks, CA 91360-7762 | 2019-12-03 |
| 1235698424 | Jennifer Gross | Behavior Technician | 1221 W Divide Ave Ste 2, Bismarck, ND 58501-1224 | 2019-03-18 |
| Street Address |
2600 S EL CAMINO REAL STE 200 |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94403-2382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730469198 | Ann K Rawley | Psychologist | 2600 S El Camino Real Ste 200, San Mateo, CA 94403-2382 | 2011-08-17 |
| 1396344990 | Karis Sykes | Counselor | 2600 S El Camino Real Ste 200, San Mateo, CA 94403-2382 | 2020-10-23 |
| 1710590088 | Caminar | Community/Behavioral Health | 2600 S El Camino Real Ste 200, San Mateo, CA 94403-2382 | 2020-08-26 |
| 1639792039 | Alshwenbear Campos | Counselor | 2600 S El Camino Real Ste 200, San Mateo, CA 94403-2382 | 2020-05-20 |
| 1346861465 | Nadrina Weseman | Case Manager/Care Coordinator | 2600 S El Camino Real Ste 200, San Mateo, CA 94403-2382 | 2020-04-29 |
| 1952921975 | Anna Dukovic | Counselor | 2600 S El Camino Real Ste 200, San Mateo, CA 94403-2382 | 2020-04-20 |
| 1992334445 | Zuleyma Zirate | Case Manager/Care Coordinator | 2600 S El Camino Real Ste 200, San Mateo, CA 94403-2382 | 2020-04-06 |
| 1134755713 | Nuha Mahmoud Ghanem | Case Manager/Care Coordinator | 2600 S El Camino Real Ste 200, San Mateo, CA 94403-2382 | 2020-03-16 |
| 1255971826 | Seungchan Suh | Case Manager/Care Coordinator | 2600 S El Camino Real Ste 200, San Mateo, CA 94403-2382 | 2020-01-13 |
| 1790336980 | Bridget Mcelligott | Counselor | 2600 S El Camino Real Ste 200, San Mateo, CA 94403-2382 | 2019-09-27 |
| 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.