JAIME ALICIA PENA
NPI 1104190685
Marriage & Family Therapist in Vacaville, CA

Q: What is Jaime Pena's NPI number?

The NPI number for Jaime Pena is 1104190685. It was assigned to this individual provider in the NPPES registry on March 1, 2012.

Q: What is Jaime Pena'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 Jaime Pena was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since March 01, 2012PECOS Enrolled

401 NUT TREE RD, VACAVILLE, CA 95687(707) 564-3505 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 25, 2025, Jul 21, 2022, Feb 6, 2019 and 1 more (4 updates tracked since 2017).

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About Jaime Alicia Pena NPPES

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

JAIME ALICIA PENA (NPI 1104190685) is an individual marriage & family therapist in Vacaville, California, licensed in California (111329) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS and is a graduate of National University Of Arts And Sciences, Medical Department (2012).

NPPES Registry Identity

NPI1104190685

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameJAIME ALICIA PENA

Location Address401 NUT TREE RDVacaville, CA 95687-3508

Mailing Address401 Nut Tree RdVacaville, CA 95687-3508 · (707) 564-3505

Phone(707) 564-3505

Sole ProprietorYes

Medical School CMSNational University Of Arts And Sciences, Medical DepartmentGraduated 2012

Enumeration DateMarch 1, 2012

Last NPPES UpdateMarch 25, 20254 updates tracked since enumeration

NPPES CertifiedMarch 25, 2025

✔ NPI 1104190685 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 · 111329

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.

401 NUT TREE RD, Vacaville, CA 95687

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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 (PECOS)

Jaime Alicia Pena is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991294431

PECOS Enrollment IDI20251027001467

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 10

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

NORMA ANGELICA HERNANDEZ LMFT

Marriage & Family Therapist