JENNIFER AGIS
NPI 1730318643
Counselor in Fremont, CA

Active since July 13, 2009
39275 LIBERTY ST # D-12, FREMONT, CA 94538(510) 742-3904(510) 742-3912 Get Directions Write a Review

NPPES record last updated: July 13, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Counselor

About JENNIFER AGIS

This page provides the complete NPI Profile along with additional information for Jennifer Agis, a provider established in Fremont, California with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1730318643 assigned on July 2009. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an individual and her NPI record was last updated 17 years ago.

NPI
1730318643 Verify this NPI
Provider Name
JENNIFER AGIS
Gender
Female
Entity Type
Individual
Location Address
39275 LIBERTY ST # D-12 FREMONT, CA 94538
Location Phone
(510) 742-3904
Location Fax
(510) 742-3912
Mailing Address
39275 LIBERTY ST # D-12 FREMONT, CA 94538
Mailing Phone
(510) 742-3904
Mailing Fax
(510) 742-3912
Is Sole Proprietor?
Yes
Enumeration Date
07-13-2009
Last Update Date
07-13-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor

Taxonomy Code
101Y00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730318643, enumerated as an "individual" on July 13, 2009.

The provider is located at 39275 LIBERTY ST # D-12 FREMONT, CA 94538 and the phone number is (510) 742-3904.

Counselor with taxonomy code 101Y00000X.