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JENNIFER DUKES
NPI 1871969972
Counselor - Mental Health in San Rafael, CA

Active since August 12, 2015PECOS Enrolled
111 SMITH RANCH RD, SAN RAFAEL, CA 94903(415) 802-2918 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 4, 2024, Aug 7, 2018, Apr 10, 2017 and 1 more (4 updates tracked since 2016).

About Jennifer Dukes NPPES

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

JENNIFER DUKES (NPI 1871969972) is an individual mental health provider in San Rafael, California, licensed in California (101040) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871969972
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJENNIFER DUKES
Location Address111 SMITH RANCH RDSan Rafael, CA 94903
Mailing Address145 Corte Madera Town Ctr # 168Corte Madera, CA 94925-1209 · (415) 802-2918
Phone(415) 802-2918
Sole ProprietorNo
Enumeration DateAugust 12, 2015
Last NPPES UpdateMarch 4, 20244 updates tracked since enumeration
NPPES CertifiedMarch 2, 2024
✔ NPI 1871969972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · 101040
Also ListedCounselorTaxonomy 101Y00000X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 88269 (CA)
111 SMITH RANCH RD, San Rafael, CA 94903
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Dukes is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

STEPHANIE LOPEZ
Psychologist
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Marin County (415) 491-3127
ASFAND KHAN
Psychiatry & Neurology (Psychiatry)
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Marin County (415) 491-3000
JENNIFER DAWN ROSSI MA
Marriage & Family Therapist
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Marin County (415) 491-3000
AMY NICOLE URBAN
Marriage & Family Therapist
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Marin County (415) 491-3000
DR. KIM HUONG HUYNH PH.D.
Psychologist (Clinical)
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Marin County (415) 491-3011
CORINNE HEIMER
Psychologist
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Marin County (415) 491-3000
JONATHAN MICHAEL DUBOS
Psychologist (Clinical Child & Adolescent)
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Marin County (415) 491-3000
SHIRI LICHTENSTEIN PSYD
Psychologist
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Marin County (415) 491-3000

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 Jennifer Dukes's NPI number?

The NPI number for Jennifer Dukes is 1871969972. It was assigned to this individual provider in the NPPES registry on August 12, 2015.

Where is Jennifer Dukes located?

Jennifer Dukes practices at 111 Smith Ranch Rd, San Rafael, CA 94903. The listed phone number is (415) 802-2918.

What is Jennifer Dukes's specialty?

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

Is Jennifer Dukes enrolled in Medicare?

Yes. Jennifer Dukes is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Dukes was last updated on March 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.