MRS. JENIFER GOSS MA COUSELING PSYCH
NPI 1477985216
Marriage & Family Therapist in Santa Rosa, CA

Q: What is the provider's specialty?

The provider's specialty is Marriage & Family Therapist with taxonomy code 106H00000X.

Active since August 03, 2013PECOS Enrolled

534 B ST, LOMI PSYCHOTHERAPY CLINIC, SANTA ROSA, CA 95401(707) 579-0465 Get Directions Write a Review

NPPES record last updated: March 7, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mrs. Jenifer Goss Ma Couseling Psych NPPES

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

MRS. JENIFER GOSS MA COUSELING PSYCH (NPI 1477985216) is an individual marriage & family therapist in Santa Rosa, California, licensed in California (MFT INTERN #84029) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477985216

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMRS. JENIFER GOSSCredential: MA COUSELING PSYCH

Location Address534 B ST, LOMI PSYCHOTHERAPY CLINICSanta Rosa, CA 95401-5211

Mailing Address534 B St, Lomi Psychotherapy ClinicSanta Rosa, CA 95401-5211

Phone(707) 579-0465

Sole ProprietorYes

Enumeration DateAugust 3, 2013

Last NPPES UpdateMarch 7, 2015

✔ NPI 1477985216 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 · MFT INTERN #84029

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

534 B ST, Santa Rosa, CA 95401

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Mrs. Jenifer Goss Ma Couseling Psych 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 January 1, 2024 through January 1, 2026.

Opt-Out Effective DateJanuary 1, 2024

Opt-Out In Effect ThroughJanuary 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.