JENNA KERLER


Address: 22 San Pablo Ave Apt 2, San Rafael, CA 94903-4122
Phone: 4157479669

JENNA KERLER (NPI# 1568839926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568839926
Entity Type Individual
Full Name JENNA KERLER
Practice Address 22 San Pablo Ave Apt 2
San Rafael
CA 94903-4122
Practice Telephone 4157479669
Mailing Telephone 4157479669
Enumeration Date 2015-09-01
Last Update Date 2015-09-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
K1305171109 CA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA C4415624 05

Office Location

Street Address 22 SAN PABLO AVE APT 2
City SAN RAFAEL
State CA
Zip Code 94903-4122

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467089524 Christopher Sazo Counselor 1 St. Vincents Drive, San Rafael, CA 94903 2020-03-26
1134769482 Katherine Sieger Music Therapist 400 Civic Center Dr. #300, San Rafael, CA 94903 2020-01-14
1679064836 California In Home Care & Registry, Inc In Home Supportive Care 14b Mitchell Blvd, Suite B, San Rafael, CA 94903 2018-05-23
1922557586 Helen Elizabeth Shamis Marriage & Family Therapist 30 North San Pedro, Suite #265, Beyond Hunger, San Rafael, CA 94903 2016-09-23
1033572771 Henry Colbert Counselor 1 St. St. Vincent Drive, San Rafael, CA 94903 2016-03-31
1659736924 Robyn Bloom Marriage & Family Therapist 4 Joseph Court, San Rafael, CA 94903 2015-12-30
1851760565 Cheryl Clementson Substance Abuse Rehabilitation Facility 301 Smith Ranch Road, San Rafael, CA 94903 2015-09-23
1588043731 Chelsea Cooney Counselor 1 St. Vincent's Drive, San Rafael, CA 94903 2015-05-20
1083002315 Kaiser Permanente Psychiatric Unit 111 Smith Ranch Road, Kaiser Permanente, San Rafael, CA 94903 2015-01-09
1366857856 Travel Well Corporation Preventive Medicine 28 Mitchell Blvd, San Rafael, CA 94903 2014-06-24
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912542457 Stephen Lochrane Prince Counselor 10 N San Pedro Rd Ste 1015, San Rafael, CA 94903-4155 2019-11-07
1912463332 Jenna Roth Ring Counselor 1005 Northgate Dr # 115, San Rafael, CA 94903-2500 2019-02-11
1194263228 Daron Austin Counselor 710 C St Ste 8, San Rafael, CA 94901-3853 2017-02-09
1427507789 Full Circle Addiction and Recovery Services Counselor 1104 Lincoln Ave, San Rafael, CA 94901-3245 2016-09-28
1750744637 Karen Witt Counselor 110 Plymouth Cv, San Rafael, CA 94901-4461 2016-03-30
1952763724 Donald Lee Merriam IIi Counselor 603 D Street, San Rafael, CA 94901 2016-03-22
1912367236 Felipe Perez Counselor 710 C Street, Suite 7, San Rafael, CA 94901 2016-02-29
1598159790 James Paul Goss IIi Counselor 1005 A St Ste 209, San Rafael, CA 94901-3127 2015-03-25
1053702787 Marin Outpatient Recovery Services Counselor 11 Albion St, San Rafael, CA 94901-5201 2015-02-17
1245506583 Dennis Franklin Mccray Counselor 135 Paul Dr, San Rafael, CA 94903-2023 2012-03-30
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Competitor

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City SAN RAFAEL
Zip Code 94903

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Dataset Information

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.

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