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

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
5480 BALTIMORE DR, STE. 202, LA MESA, CA 91942(619) 335-5373(619) 464-7772 Get Directions Write a Review

NPPES record last updated: July 16, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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
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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.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARLES A. LONG, A PROFESSIONAL MARRIAGE AND FAMILY THERAPY CORPORATIO
Community/Behavioral Health
5480 BALTIMORE DR, SUITE 202
LA MESA, CA 91942
San Diego County (619) 462-0199
MS. MARSHA LANE STRIEKER L.M.F.T.
Marriage & Family Therapist
5480 BALTIMORE DR, SUITE 211
LA MESA, CA 91942
San Diego County (619) 850-8879
HEATHER LYNN GIBSON M.A, LMFT
Marriage & Family Therapist
5480 BALTIMORE DR, SUITE 250
LA MESA, CA 91942
San Diego County (619) 733-6414
DR. KRISTIN NICOLE HERZBERG PURDY PH.D.
Psychologist
5480 BALTIMORE DR, #250
LA MESA, CA 91942
San Diego County (310) 863-0767
MS. CAROL SIMPSON DAWIDOWICZ MFT
Marriage & Family Therapist
5480 BALTIMORE DR, SUITE #250
LA MESA, CA 91942
San Diego County (858) 568-0456
DR. KAREN ANN CROSS PHD
Psychologist (Clinical)
5480 BALTIMORE DR, SUITE 103
LA MESA, CA 91942
San Diego County (858) 229-1282
GARY D HITTLE PHD
Marriage & Family Therapist
5480 BALTIMORE DR, SUITE 202
LA MESA, CA 91942
San Diego County (619) 464-7771
MR. CHARLES ANTHONY LONG MFT
Marriage & Family Therapist
5480 BALTIMORE DR, SUITE 202
LA MESA, CA 91942
San Diego County (619) 462-0199

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 Jan Slack's NPI number?

The NPI number for Jan Slack is 1083791271. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Jan Slack located?

Jan Slack practices at 5480 Baltimore Dr Ste. 202, La Mesa, CA 91942. The listed phone number is (619) 335-5373.

What is Jan Slack's specialty?

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

Is Jan Slack enrolled in Medicare?

Yes. Jan Slack 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.

When was this NPI record last updated?

The NPPES record for Jan Slack was last updated on July 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.