JENNAFER ROCHELLE PROVINSE
NPI 1346558772
Social Worker - Clinical in Encino, CA

Q: What is Jennafer Provinse's NPI number?

The NPI number for Jennafer Provinse is 1346558772. It was assigned to this individual provider in the NPPES registry on September 20, 2010.

Q: What is Jennafer Provinse's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Jennafer Provinse was last updated on October 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 September 20, 2010PECOS Enrolled

15720 VENTURA BLVD STE 420, ENCINO, CA 91436(562) 449-9258 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 11, 2023, May 23, 2022, Apr 26, 2021 and 2 more (5 updates tracked since 2018).

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About Jennafer Rochelle Provinse NPPES

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

JENNAFER ROCHELLE PROVINSE (NPI 1346558772) is an individual clinical provider in Encino, California, licensed in California (117856) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1346558772

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJENNAFER ROCHELLE PROVINSE

Location Address15720 VENTURA BLVD STE 420Encino, CA 91436-4711

Mailing Address2201 E Willow St # 169Signal Hill, CA 90755-2148 · (562) 449-9258

Phone(562) 449-9258

Sole ProprietorNo

Enumeration DateSeptember 20, 2010

Last NPPES UpdateOctober 11, 20235 updates tracked since enumeration

NPPES CertifiedOctober 11, 2023

✔ NPI 1346558772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CA · 117856

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 82093 (CA)

Also ListedSocial WorkerTaxonomy 104100000X · License 82093 (CA)

15720 VENTURA BLVD STE 420, Encino, CA 91436

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Secondary Practice Locations 2

Location 11200 Wilshire BlvdLos Angeles, CA 90017-1908 · Phone (213) 481-7464 · Fax (213) 481-7147

Location 22201 E Willow St # 169Signal Hill, CA 90755-2148 · Phone (562) 449-9258

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennafer Rochelle Provinse 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.

Medicare Billing Reassignment

Medicare enrollment records show Jennafer Provinse reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PC

291 mi

Mental Health

99 S ALMADEN BLVD STE 600
San Jose, CA 95113

Reassigned Medicare billing, California enrollment
3,139 clinicians in this Medicare group

NPI 1154994846 (408) 402-4385

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91436 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $62.96 – $187.60

Typical copayment $0.00 (range $15.74 – $46.90)

Most-billed visit code NA

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

CHRISTA JINN CUISON

Social Worker (Clinical)