Healthcare Provider Details

I. General information

NPI: 1083565659
Provider Name (Legal Business Name): JENNA ROBINSON LMFT, PTR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/09/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1361 PARK ST
ALAMEDA CA
94501-4563
US

IV. Provider business mailing address

484 LAKE PARK AVE # 54
OAKLAND CA
94610-2730
US

V. Phone/Fax

Practice location:
  • Phone: 510-610-5903
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number130985
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code102X00000X
TaxonomyPoetry Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: