SARAH PACK MFT
NPI 1073683595
Marriage & Family Therapist in San Jose, CA

Q: What is Sarah Pack's NPI number?

The NPI number for Sarah Pack is 1073683595. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Q: What is Sarah Pack'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 Sarah Pack was last updated on January 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 November 09, 2006PECOS EnrolledAccepts Medicare Assignment

232 E GISH RD, SAN JOSE, CA 95112(408) 876-4189 Get Directions Write a Review

NPPES record last updated: January 20, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Sarah Pack Mft NPPES

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

SARAH PACK MFT (NPI 1073683595) is an individual marriage & family therapist in San Jose, California, licensed in California (MFC41172) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1073683595

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameSARAH PACKCredential: MFT

Location Address232 E GISH RDSan Jose, CA 95112-4706

Mailing Address5507 Harlow Way Apt ASan Jose, CA 95124-6224 · (408) 876-4189

Phone(408) 876-4189

Sole ProprietorYes

Medical School CMSOtherGraduated 1991

Enumeration DateNovember 9, 2006

Last NPPES UpdateJanuary 20, 2022

NPPES CertifiedJanuary 20, 2022

✔ NPI 1073683595 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 · MFC41172

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.

232 E GISH RD, San Jose, CA 95112

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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 and accepts Medicare assignment

Sarah Pack Mft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224480553

PECOS Enrollment IDI20240122004648

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.

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