JESSICA PROVENZA
NPI 1356174973
Marriage & Family Therapist in Napa, CA

Q: What is Jessica Provenza's NPI number?

The NPI number for Jessica Provenza is 1356174973. It was assigned to this individual provider in the NPPES registry on August 20, 2024.

Q: What is Jessica Provenza's specialty?

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

Q: Is Jessica Provenza enrolled in Medicare?

No. Jessica Provenza has opted out of Medicare through March 20, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Jessica Provenza was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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 August 20, 2024Opted out of Medicare · through Mar 20, 2028

77 HIGHLAND DR, NAPA, CA 94559(707) 315-4084 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jessica Provenza NPPES

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

JESSICA PROVENZA (NPI 1356174973) is an individual marriage & family therapist in Napa, California, licensed in California (135179) and active in the NPI registry since August 2024. She has opted out of Medicare through March 20, 2028.

NPPES Registry Identity

NPI1356174973

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameJESSICA PROVENZA

Location Address77 HIGHLAND DRNapa, CA 94559-1529

Mailing Address77 Highland DrNapa, CA 94559-1529 · (707) 315-4084

Phone(707) 315-4084

Sole ProprietorYes

Enumeration DateAugust 20, 2024

NPPES CertifiedAugust 20, 2024

✔ NPI 1356174973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 135179

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.

77 HIGHLAND DR, Napa, CA 94559

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jessica Provenza has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 20, 2024 through March 20, 2028.

Opt-Out Effective DateMarch 20, 2024

Opt-Out In Effect ThroughMarch 20, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Jessica Provenza's NPI number?

The NPI number for Jessica Provenza is 1356174973. It was assigned to this individual provider in the NPPES registry on August 20, 2024.

Where is Jessica Provenza located?

Jessica Provenza practices at 77 Highland Dr, Napa, CA 94559. The listed phone number is (707) 315-4084.

What is Jessica Provenza's specialty?

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

Is Jessica Provenza enrolled in Medicare?

No. Jessica Provenza has opted out of Medicare through March 20, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jessica Provenza was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.