JENNA GOULDER ASW, MSC, MA
NPI 1043814817
Counselor in San Francisco, CA

Q: What is Jenna Goulder's NPI number?

The NPI number for Jenna Goulder is 1043814817. It was assigned to this individual provider in the NPPES registry on November 23, 2020.

Q: What is Jenna Goulder's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Jenna Goulder was last updated on February 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since November 23, 2020PECOS Enrolled

52 DORE ST, SAN FRANCISCO, CA 94103(415) 861-0828(415) 861-0140 Get Directions Write a Review

NPPES record last updated: February 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 4, 2021, Nov 23, 2020 (2 updates tracked since 2020).

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About Jenna Goulder Asw, Msc, Ma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNA GOULDER ASW, MSC, MA (NPI 1043814817) is an individual counselor in San Francisco, California and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sacramento, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1043814817

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameJENNA GOULDERCredential: ASW, MSC, MA

Location Address52 DORE STSan Francisco, CA 94103-3828

Mailing Address368 Fell StSan Francisco, CA 94102-5144 · (415) 861-0828 · Fax (415) 861-0140

Phone(415) 861-0828

Fax(415) 861-0140

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateNovember 23, 2020

Last NPPES UpdateFebruary 4, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 4, 2021

✔ NPI 1043814817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedBehavior TechnicianTaxonomy 106S00000X

52 DORE ST, San Francisco, CA 94103

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Secondary Practice Location 1

Location 11300 Ethan Way Ste 175Sacramento, CA 95825-2277 · Phone (209) 863-2450

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jenna Goulder Asw, Msc, Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315431053

PECOS Enrollment IDI20251210003145

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

MS. CECILE A O'CONNOR RN

Registered Nurse