JENNIFER MICHAEL CONWAY-BRANDT
NPI 1073160339
Marriage & Family Therapist in Stockton, CA

Q: What is Jennifer Conway-brandt's NPI number?

The NPI number for Jennifer Conway-brandt is 1073160339. It was assigned to this individual provider in the NPPES registry on August 21, 2019.

Q: What is Jennifer Conway-brandt's specialty?

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

Active since August 21, 2019PECOS Enrolled

1212 N CALIFORNIA ST, STOCKTON, CA 95202(209) 468-8842 Get Directions Write a Review

NPPES record last updated: December 11, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 11, 2023, Aug 21, 2019 (2 updates tracked since 2019).

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About Jennifer Michael Conway-brandt NPPES

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

JENNIFER MICHAEL CONWAY-BRANDT (NPI 1073160339) is an individual marriage & family therapist in Stockton, California, licensed in California (140599) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073160339

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameJENNIFER MICHAEL CONWAY-BRANDT

Location Address1212 N CALIFORNIA STStockton, CA 95202-1552

Mailing Address1212 N California StStockton, CA 95202-1552 · (209) 468-8842

Phone(209) 468-8842

Sole ProprietorYes

Enumeration DateAugust 21, 2019

Last NPPES UpdateDecember 11, 20232 updates tracked since enumeration

NPPES CertifiedOctober 26, 2020

✔ NPI 1073160339 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

Licenses✔ Licensed in CA · 140599✔ Licensed in CA · 119053

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 ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

1212 N CALIFORNIA ST, Stockton, CA 95202

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Michael Conway-brandt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES

Clinic/Center (Mental Health (Including Community Mental Health Center))