MS. JENIFER E. DAHLSTROM MFT, CEAP, SAP
NPI 1477587046
Counselor - Mental Health in Oakland, CA

Active since July 10, 2006Opted out of Medicare · through Feb 2, 2028
492 CLIFTON ST, OAKLAND, CA 94618(510) 273-9261(510) 653-8787 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Jenifer E. Dahlstrom Mft, Ceap, Sap NPPES

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

MS. JENIFER E. DAHLSTROM MFT, CEAP, SAP (NPI 1477587046) is an individual mental health provider in Oakland, California, licensed in California (30247) and active in the NPI registry since July 2006. She has opted out of Medicare through February 2, 2028.

NPPES Registry Identity

NPI1477587046
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. JENIFER E. DAHLSTROMCredential: MFT, CEAP, SAP
Location Address492 CLIFTON STOakland, CA 94618-1162
Mailing Address492 Clifton StreetOakland, CA 94618 · (510) 273-9261 · Fax (510) 653-8787
Fax(510) 653-8787
Sole ProprietorYes
Enumeration DateJuly 10, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1477587046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in CA · 30247
492 CLIFTON ST, Oakland, CA 94618

Other Names 1

Former Name (1)Jenifer E. Bamberger

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Ms. Jenifer E. Dahlstrom Mft, Ceap, Sap 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 February 2, 2024 through February 2, 2028.

Opt-Out Effective DateFebruary 2, 2024
Opt-Out In Effect ThroughFebruary 2, 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 Jenifer Dahlstrom's NPI number?

The NPI number for Jenifer Dahlstrom is 1477587046. It was assigned to this individual provider in the NPPES registry on July 10, 2006. The provider is also known as Jenifer E. Bamberger.

Where is Jenifer Dahlstrom located?

Jenifer Dahlstrom practices at 492 Clifton St, Oakland, CA 94618. The listed phone number is (510) 273-9261.

What is Jenifer Dahlstrom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jenifer Dahlstrom enrolled in Medicare?

No. Jenifer Dahlstrom has opted out of Medicare through February 2, 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 Jenifer Dahlstrom was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.