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REBECCA JERNIGAN MFT INTERN
NPI 1073068417
Marriage & Family Therapist in Fortuna, CA

Active since August 15, 2016
3000 NEWBURG RD STE D, FORTUNA, CA 95540(707) 268-8722(707) 268-0218 Get Directions Write a Review

NPPES record last updated: August 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 3, 2020, Dec 19, 2017, Aug 15, 2016 (3 updates tracked since 2016).

About Rebecca Jernigan Mft Intern NPPES

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

REBECCA JERNIGAN MFT INTERN (NPI 1073068417) is an individual marriage & family therapist in Fortuna, California, licensed in California (120558) and active in the NPI registry since August 2016. She maintains a secondary practice location in Eureka.

NPPES Registry Identity

NPI1073068417
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameREBECCA JERNIGANCredential: MFT INTERN
Location Address3000 NEWBURG RD STE DFortuna, CA 95540-2522
Mailing AddressPo Box 271Hydesville, CA 95547-0271
Phone(707) 268-8722
Fax(707) 268-0218
Sole ProprietorNo
Enumeration DateAugust 15, 2016
Last NPPES UpdateAugust 3, 20203 updates tracked since enumeration
NPPES CertifiedAugust 3, 2020
✔ NPI 1073068417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 120558
Definition
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 93764 (CA)
3000 NEWBURG RD STE D, Fortuna, CA 95540
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Secondary Practice Location 1

Location 11802 California StEureka, CA 95501-2808 · Phone (707) 443-7358 ext. 316 · Fax (707) 443-1092

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 Rebecca Jernigan's NPI number?

The NPI number for Rebecca Jernigan is 1073068417. It was assigned to this individual provider in the NPPES registry on August 15, 2016.

Where is Rebecca Jernigan located?

Rebecca Jernigan practices at 3000 Newburg Rd Ste D, Fortuna, CA 95540. The listed phone number is (707) 268-8722.

What is Rebecca Jernigan's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Rebecca Jernigan was last updated on August 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.