JACKY LAU MFT-INTERN
NPI 1023450301
Marriage & Family Therapist in San Diego, CA

Q: What is Jacky Lau's NPI number?

The NPI number for Jacky Lau is 1023450301. It was assigned to this individual provider in the NPPES registry on July 26, 2013.

Q: What is Jacky Lau's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacky Lau was last updated on November 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 July 26, 2013PECOS Enrolled

1031 25TH ST, SAN DIEGO, CA 92102(619) 232-6454(619) 235-4607 Get Directions Write a Review

NPPES record last updated: November 5, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jacky Lau Mft-intern NPPES

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

JACKY LAU MFT-INTERN (NPI 1023450301) is an individual marriage & family therapist in San Diego, California, licensed in California (81955) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023450301

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameJACKY LAUCredential: MFT-INTERN

Location Address1031 25TH STSan Diego, CA 92102-2102

Mailing Address1031 25th StSan Diego, CA 92102-2102 · (619) 232-6454 · Fax (619) 235-4607

Phone(619) 232-6454

Fax(619) 235-4607

Sole ProprietorNo

Enumeration DateJuly 26, 2013

Last NPPES UpdateNovember 5, 2014

✔ NPI 1023450301 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

License✔ Licensed in CA · 81955

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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1031 25TH ST, San Diego, CA 92102

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacky Lau Mft-intern 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.

CAROLINA REYNA

Marriage & Family Therapist