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MS. JACQUELINE ISLAS LMFT
NPI 1003153149
Marriage & Family Therapist in Newport Beach, CA

Active since January 09, 2013Opted out of Medicare · through Feb 7, 2028
1151 DOVE ST STE 140, NEWPORT BEACH, CA 92660(949) 630-5006 Get Directions Write a Review

NPPES record last updated: September 10, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 10, 2018, Apr 17, 2018, Mar 24, 2016 (3 updates tracked since 2016).

About Ms. Jacqueline Islas Lmft NPPES

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

MS. JACQUELINE ISLAS LMFT (NPI 1003153149) is an individual marriage & family therapist in Newport Beach, California, licensed in California (100262) and active in the NPI registry since January 2013. She has opted out of Medicare through February 7, 2028.

NPPES Registry Identity

NPI1003153149
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. JACQUELINE ISLASCredential: LMFT
Location Address1151 DOVE ST STE 140Newport Beach, CA 92660-2837
Mailing AddressPo Box 52682Irvine, CA 92619-2682 · (949) 630-5006
Phone(949) 630-5006
Sole ProprietorYes
Enumeration DateJanuary 9, 2013
Last NPPES UpdateSeptember 10, 20183 updates tracked since enumeration
✔ NPI 1003153149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 100262
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.
1151 DOVE ST STE 140, Newport Beach, CA 92660
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Jacqueline Islas Lmft 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 February 7, 2024 through February 7, 2028.

Opt-Out Effective DateFebruary 7, 2024
Opt-Out In Effect ThroughFebruary 7, 2028Opt-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.

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.

FATIMA GOMEZ
Behavior Technician
1151 DOVE ST STE 140
NEWPORT BEACH, CA 92660
Orange County (657) 294-5113
ANTHONY LINARES
Behavior Technician
1151 DOVE ST STE 140
NEWPORT BEACH, CA 92660
Orange County (657) 294-5113
RAQUEL CHAVEZ
Behavior Technician
1151 DOVE ST STE 140
NEWPORT BEACH, CA 92660
Orange County (657) 294-5113
MICHELLE WONG
Behavior Technician
1151 DOVE ST STE 140
NEWPORT BEACH, CA 92660
Orange County (657) 294-5113
MARADY MSIRI
Behavior Technician
1151 DOVE ST STE 140
NEWPORT BEACH, CA 92660
Orange County (657) 294-5113
HEATHER MCCLAIN
Behavior Technician
1151 DOVE ST STE 140
NEWPORT BEACH, CA 92660
Orange County (657) 294-5113
JALIN FAN
Behavior Technician
1151 DOVE ST STE 140
NEWPORT BEACH, CA 92660
Orange County (657) 294-5113
ARUSHI VERMA
Behavior Technician
1151 DOVE ST STE 140
NEWPORT BEACH, CA 92660
Orange County (657) 294-5113

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 Jacqueline Islas's NPI number?

The NPI number for Jacqueline Islas is 1003153149. It was assigned to this individual provider in the NPPES registry on January 9, 2013.

Where is Jacqueline Islas located?

Jacqueline Islas practices at 1151 Dove St Ste 140, Newport Beach, CA 92660. The listed phone number is (949) 630-5006.

What is Jacqueline Islas's specialty?

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

Is Jacqueline Islas enrolled in Medicare?

No. Jacqueline Islas has opted out of Medicare through February 7, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jacqueline Islas was last updated on September 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.