SARAH PACK MFT
NPI 1073683595
Marriage & Family Therapist in San Jose, CA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Sarah Pack reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Santa Clara, CA 95051
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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 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.
Where is Sarah Pack located?
Sarah Pack practices at 232 E Gish Rd, San Jose, CA 95112. The listed phone number is (408) 876-4189.
What is Sarah Pack's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Sarah Pack enrolled in Medicare?
Yes. Sarah Pack is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Sarah Pack's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sarah Pack reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sarah Pack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Sarah Pack, MFT · NPI 1073683595
Marriage & Family Therapist provider in San Jose, California. Individual provider, active in the CMS NPPES registry since November 9, 2006.
## Identity
- **NPI:** 1073683595 (Entity type: Individual)
- **Enumerated:** November 9, 2006
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** MFC41172 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 232 E GISH RD, San Jose, CA 95112-4706
- **Phone:** (408) 876-4189
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1073606299, Santa Clara, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1991
## Record status
- **NPPES last updated:** January 20, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1073683595) · Data from the CMS NPPES public registry.