JESSICA ROSE LANDRETH M.S.
NPI 1043492812
Counselor - Mental Health in Auburn, CA
About Jessica Rose Landreth M.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA ROSE LANDRETH M.S. (NPI 1043492812) is an individual mental health provider in Auburn, California, licensed in California (51669) and active in the NPI registry since December 2007. She has opted out of Medicare through July 15, 2027 and maintains a secondary practice location in San Luis Obispo.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Jessica Rose Landreth M.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 15, 2025 through July 15, 2027.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jessica Landreth's NPI number?
The NPI number for Jessica Landreth is 1043492812. It was assigned to this individual provider in the NPPES registry on December 3, 2007. The provider is also known as Jessica Rose Sappenfield.
Where is Jessica Landreth located?
Jessica Landreth practices at 1275 High St, Auburn, CA 95603. The listed phone number is (805) 234-6261.
What is Jessica Landreth's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jessica Landreth enrolled in Medicare?
No. Jessica Landreth has opted out of Medicare through July 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Jessica Landreth was last updated on December 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jessica Rose Landreth, M.S. · NPI 1043492812
Mental Health provider in Auburn, California. Individual provider, active in the CMS NPPES registry since December 3, 2007.
## Identity
- **NPI:** 1043492812 (Entity type: Individual)
- **Enumerated:** December 3, 2007
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 51669 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1275 HIGH ST, Auburn, CA 95603-5016
- **Phone:** (805) 234-6261
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through July 15, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** December 12, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1043492812) · Data from the CMS NPPES public registry.