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: October 25, 2026.

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

On this page

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

Open in Google Maps ↗

Secondary Practice Location 1

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Jenna Goulder reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Patient Assistance Foundation

1.6 mi

Clinical

2351 CLAY ST STE 141
San Francisco, CA 94115

Reassigned Medicare billing, California enrollment
10 clinicians in this Medicare group

NPI 1285814921 (415) 923-3155

Sutter Bay Medical Foundation

15 mi

Multi-Specialty

12 CAMINO ENCINAS
Orinda, CA 94563

Reassigned Medicare billing, California enrollment
4,479 clinicians in this Medicare group

NPI 1366898538 (510) 204-8180

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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