JENNIFER RE M.A
NPI 1669809067
Marriage & Family Therapist in Oakland, CA

Q: What is Jennifer Re's NPI number?

The NPI number for Jennifer Re is 1669809067. It was assigned to this individual provider in the NPPES registry on September 30, 2013.

Q: What is Jennifer Re's specialty?

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

Q: Is Jennifer Re enrolled in Medicare?

No. Jennifer Re has opted out of Medicare through April 15, 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 Jennifer Re was last updated on September 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 30, 2013Opted out of Medicare · through Apr 15, 2028

4368 LINCOLN AVE, OAKLAND, CA 94602(510) 531-3111 Get Directions Write a Review

NPPES record last updated: September 30, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Jennifer Re M.a NPPES

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

JENNIFER RE M.A (NPI 1669809067) is an individual marriage & family therapist in Oakland, California and active in the NPI registry since September 2013. She has opted out of Medicare through April 15, 2028.

NPPES Registry Identity

NPI1669809067

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameJENNIFER RECredential: M.A

Location Address4368 LINCOLN AVEOakland, CA 94602-2529

Mailing Address4368 Lincoln AveOakland, CA 94602-2529 · (510) 531-3111

Phone(510) 531-3111

Sole ProprietorNo

Enumeration DateSeptember 30, 2013

✔ NPI 1669809067 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

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

4368 LINCOLN AVE, Oakland, CA 94602

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jennifer Re M.a 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 April 15, 2024 through April 15, 2028.

Opt-Out Effective DateApril 15, 2024

Opt-Out In Effect ThroughApril 15, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

LIANA JUSTINE KARAM

Social Worker (School)