MS. JILL MARIE MCGOVERN M.A.
NPI 1053123554
Marriage & Family Therapist in San Juan Capistrano, CA

Active since January 22, 2025Opted out of Medicare · through Jul 8, 2027
26000 AVENIDA AEROPUERTO SPC 132, SAN JUAN CAPISTRANO, CA 92675(949) 510-9494 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Jill Marie Mcgovern M.a. NPPES

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

MS. JILL MARIE MCGOVERN M.A. (NPI 1053123554) is an individual marriage & family therapist in San Juan Capistrano, California, licensed in California (152015) and active in the NPI registry since January 2025. She has opted out of Medicare through July 8, 2027 and maintains a secondary practice location in Capistrano Beach.

NPPES Registry Identity

NPI1053123554
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. JILL MARIE MCGOVERNCredential: M.A.
Location Address26000 AVENIDA AEROPUERTO SPC 132San Juan Capistrano, CA 92675-4747
Mailing AddressPo Box 7044Capistrano Beach, CA 92624-7044 · (949) 510-9494
Sole ProprietorYes
Enumeration DateJanuary 22, 2025
NPPES CertifiedJanuary 22, 2025
NPI 1053123554 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 · 152015
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.
26000 AVENIDA AEROPUERTO SPC 132, San Juan Capistrano, CA 92675

Secondary Practice Location 1

Location 1PO Box 7044Capistrano Beach, CA 92624-7044 · Phone (949) 510-9494

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. Jill Marie Mcgovern M.a. 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 July 8, 2025 through July 8, 2027.

Opt-Out Effective DateJuly 8, 2025
Opt-Out In Effect ThroughJuly 8, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Jill Mcgovern's NPI number?

The NPI number for Jill Mcgovern is 1053123554. It was assigned to this individual provider in the NPPES registry on January 22, 2025.

Where is Jill Mcgovern located?

Jill Mcgovern practices at 26000 Avenida Aeropuerto Spc 132, San Juan Capistrano, CA 92675. The listed phone number is (949) 510-9494.

What is Jill Mcgovern's specialty?

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

Is Jill Mcgovern enrolled in Medicare?

No. Jill Mcgovern has opted out of Medicare through July 8, 2027. 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 Jill Mcgovern was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.