DR. JEFFREY JAY LILLE PHD
NPI 1124225628
Psychologist - Clinical in San Luis Obispo, CA

Active since June 28, 2007PECOS EnrolledAccepts Medicare Assignment
1264 HIGUERA ST, SUITE 201, SAN LUIS OBISPO, CA 93401(805) 550-3162(805) 474-1521 Get Directions Write a Review

NPPES record last updated: June 24, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jeffrey Jay Lille Phd NPPES

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

DR. JEFFREY JAY LILLE PHD (NPI 1124225628) is an individual clinical provider in San Luis Obispo, California, licensed in California (PSY9831) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1124225628
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JEFFREY JAY LILLECredential: PHD
Location Address1264 HIGUERA ST, SUITE 201San Luis Obispo, CA 93401-3124
Mailing AddressPo Box 1670Arroyo Grande, CA 93421-1670 · (805) 550-3162 · Fax (805) 474-1521
Fax(805) 474-1521
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateJune 28, 2007
Last NPPES UpdateJune 24, 2020
NPPES CertifiedJune 24, 2020
NPI 1124225628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · PSY9831
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1264 HIGUERA ST, San Luis Obispo, CA 93401

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

Dr. Jeffrey Jay Lille Phd 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 ID9234321944
PECOS Enrollment IDI20101012001250
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
679 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$178.89 typical visit price
range $59.84 – $178.89
Typical copayment $44.72 (range $14.96 – $44.72)
Most-billed visit code 99205
Established Patient
$104.82 typical visit price
range $19.70 – $146.55
Typical copayment $26.20 (range $4.92 – $36.63)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

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

Marriage & Family Therapist
1264 HIGUERA ST, SUITE 208
SAN LUIS OBISPO, CA 93401
Marriage & Family Therapist
1264 HIGUERA ST, #200
SAN LUIS OBISPO, CA 93401
Marriage & Family Therapist
1264 HIGUERA ST, SUITE 206
SAN LUIS OBISPO, CA 93401
Marriage & Family Therapist
1264 HIGUERA ST, SUITE 210
SAN LUIS OBISPO, CA 93401
Counselor (Mental Health)
1264 HIGUERA ST, #100
SAN LUIS OBISPO, CA 93401
Behavior Analyst
1264 HIGUERA ST, 108A
SAN LUIS OBISPO, CA 93401
Psychologist
1264 HIGUERA ST, SUITE 210
SAN LUIS OBISPO, CA 93401
Social Worker (Clinical)
1264 HIGUERA ST, STE 100
SAN LUIS OBISPO, CA 93401

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 Jeffrey Lille's NPI number?

The NPI number for Jeffrey Lille is 1124225628. It was assigned to this individual provider in the NPPES registry on June 28, 2007.

Where is Jeffrey Lille located?

Jeffrey Lille practices at 1264 Higuera St Suite 201, San Luis Obispo, CA 93401. The listed phone number is (805) 550-3162.

What is Jeffrey Lille's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jeffrey Lille enrolled in Medicare?

Yes. Jeffrey Lille 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 Jeffrey Lille was last updated on June 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.