MISS JENNIFER WIDERHORN
NPI 1699296897
Marriage & Family Therapist in Santa Rosa, CA

NPI Status: Active since June 28, 2017

Contact Information

1260 N DUTTON AVE STE 105
SANTA ROSA, CA
ZIP 95401
Phone: (707) 568-2300

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  • Individual
  • Female
  • Years of Experience 9
  • Marriage & Family Therapist
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JENNIFER WIDERHORN

This page provides the complete NPI Profile along with additional information for Jennifer Widerhorn, a provider established in Santa Rosa, California with a medical specialization in Marriage & Family Therapist and more than 9 years of experience. The healthcare provider is registered in the NPI registry with number 1699296897 assigned on June 2017. The practitioner's primary taxonomy code is 106H00000X with license number 123389 (CA). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1699296897
Provider Name
MISS JENNIFER WIDERHORN
Gender
Female
Entity Type
Individual
Location Address
1260 N DUTTON AVE STE 105 SANTA ROSA, CA 95401
Location Phone
(707) 568-2300
Mailing Address
1260 N DUTTON AVE STE 105 SANTA ROSA, CA 95401
Mailing Phone
(707) 568-2300
Medical School Name
OTHER
Graduation Year
2017
Is Sole Proprietor?
No
Enumeration Date
06-28-2017
Last Update Date
12-01-2021
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A marriage and family therapist like Jennifer Widerhorn help patients manage problems with their family and other relationships. Marriage and family therapists encourage clients to discuss their emotions and experiences and, develop strategies and skills to change behavior and cope with difficult situations. Many therapists apply cognitive behavioral therapy to help patients understand harmful thoughts, feelings, and also teach patients how to replace them with positive, life-enhancing ones.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Marriage & Family Therapist

Taxonomy Code
106H00000X
Type
Behavioral Health & Social Service Providers
License No.
123389
License State
CA
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 
2390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

Medicare Participation & PECOS Enrollment Status

Jennifer Widerhorn is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Jennifer Widerhorn is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7810423506

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20241204003156

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for MISS JENNIFER WIDERHORN

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1699296897
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261894912818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 8 + 9 + 4 + 9 + 1 + 2 + 8 + 1 + 8 + 24 = 83
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
90 - 83 = 77

The NPI number 1699296897 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1831655117 VERONICA LOZADA
Individual
Counselor (Mental Health)1260 N DUTTON AVE STE 105
SANTA ROSA, CA 95401
(707) 568-2300
1922662436 BARBARA J GARAYALDE
Individual
Behavior Technician1260 N DUTTON AVE STE 105
SANTA ROSA, CA 95401
(707) 568-2300
1013576248 ADRIANA FARIAS RIOS
Individual
Counselor (Mental Health)1260 N DUTTON AVE STE 105
SANTA ROSA, CA 95401
(707) 568-2300
1154983781 ANGELICA CAMACHO
Individual
Counselor (Mental Health)1260 N DUTTON AVE STE 105
SANTA ROSA, CA 95401
(707) 568-2300
1902458573 REBEKAH ROBERTS
Individual
Counselor (Mental Health)1260 N DUTTON AVE STE 105
SANTA ROSA, CA 95401
(707) 568-2300
1568017168 KYRA ZONA
Individual
Counselor (Mental Health)1260 N DUTTON AVE STE 105
SANTA ROSA, CA 95401
(707) 568-2300
1730720731 SCOTT SHIRLOCK
Individual
Counselor (School)1260 N DUTTON AVE STE 105
SANTA ROSA, CA 95401
(707) 568-2300
1992347223 BRANDON LAO
Individual
Counselor (School)1260 N DUTTON AVE STE 105
SANTA ROSA, CA 95401
(707) 568-2300
1235774183 AUBREA GRAY
Individual
Counselor (Mental Health)1260 N DUTTON AVE STE 105
SANTA ROSA, CA 95401
(707) 568-2300
1124651591 ANNE NJENGA
Individual
Counselor (Mental Health)1260 N DUTTON AVE STE 105
SANTA ROSA, CA 95401
(707) 568-2300
1427723238 DIANA PINEDA
Individual
Community Health Worker1260 N DUTTON AVE STE 105
SANTA ROSA, CA 95401
(619) 414-4169
1669149613 MEL OOMENS
Individual
Counselor (Mental Health)1260 N DUTTON AVE STE 105
SANTA ROSA, CA 95401
(707) 568-2300
1427714740 LILIANA ANDRADE
Individual
Community Health Worker1260 N DUTTON AVE STE 105
SANTA ROSA, CA 95401
(707) 568-2300
1235882820 LUIS DIAZ MENDOZA
Individual
Community Health Worker1260 N DUTTON AVE STE 105
SANTA ROSA, CA 95401
(707) 568-2300
1639811813 TRINIDAD LOPEZ
Individual
Community Health Worker1260 N DUTTON AVE STE 105
SANTA ROSA, CA 95401
(707) 568-2300
1649912890 MEGAN HULETT
Individual
Community Health Worker1260 N DUTTON AVE STE 105
SANTA ROSA, CA 95401
(707) 568-2300
1700442076MS. REGINA LYNN CULVER LMFT
Individual
Marriage & Family Therapist1260 N DUTTON AVE STE 105
SANTA ROSA, CA 95401
(707) 568-2300
1982259750 PAMELA M. COLBERT LCSW
Individual
Social Worker (Clinical)1260 N DUTTON AVE STE 105
SANTA ROSA, CA 95401
(707) 568-2300
1477139285 PAMELA JIMENEZ
Individual
Rehabilitation Practitioner1260 N DUTTON AVE STE 105
SANTA ROSA, CA 95401
(707) 568-2300

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699296897, enumerated in the NPI registry as an "individual" on June 28, 2017

The provider is located at 1260 N Dutton Ave Ste 105 Santa Rosa, Ca 95401 and the phone number is (707) 568-2300

The provider's speciality is Marriage & Family Therapist with taxonomy code 106H00000X

The provider has more than 9 years of experience.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

This NPI record was last updated on June 28, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.