MS. JAN SLACK MFT - NPI 1083791271 - Marriage & Family Therapist in La Mesa, CA

Q: What is the provider's specialty?

The provider's specialty is Marriage & Family Therapist with taxonomy code 106H00000X.

On this page

About Ms. Jan Slack Mft NPPES

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

MS. JAN SLACK MFT (NPI 1083791271) is an individual marriage & family therapist in La Mesa, California, licensed in California (MFC47977) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1083791271

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMS. JAN SLACKCredential: MFT

Location Address5480 BALTIMORE DR, STE. 202La Mesa, CA 91942-2020

Mailing Address5480 Baltimore Dr, Ste. 202La Mesa, CA 91942-2020 · (619) 335-5373 · Fax (619) 464-7772

Phone(619) 335-5373

Fax(619) 464-7772

Sole ProprietorYes

Medical School CMSOtherGraduated 2003

Enumeration DateNovember 1, 2006

Last NPPES UpdateJuly 16, 2010

✔ NPI 1083791271 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 · MFC47977

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.

5480 BALTIMORE DR, La Mesa, CA 91942

Open in Google Maps ↗

Other Identifiers 1

Other9235CA · Medical

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

Ms. Jan Slack 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 ID3274079546

PECOS Enrollment IDI20240723001273

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.