JACLYN NICOLE ARLO
NPI 1124679394
Marriage & Family Therapist in Culver City, CA

Q: What is Jaclyn Arlo's NPI number?

The NPI number for Jaclyn Arlo is 1124679394. It was assigned to this individual provider in the NPPES registry on September 27, 2019.

Q: What is Jaclyn Arlo'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 Jaclyn Arlo was last updated on October 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 27, 2019PECOS Enrolled

9808 VENICE BLVD STE 700, CULVER CITY, CA 90232(310) 945-3350(310) 945-3356 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 12, 2020, Sep 27, 2019 (2 updates tracked since 2019).

On this page

About Jaclyn Nicole Arlo NPPES

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

JACLYN NICOLE ARLO (NPI 1124679394) is an individual marriage & family therapist in Culver City, California, licensed in California (LMFT130984) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124679394

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameJACLYN NICOLE ARLO

Location Address9808 VENICE BLVD STE 700Culver City, CA 90232-6824

Mailing Address9808 Venice Blvd Ste 700Culver City, CA 90232-6824 · (310) 945-3350 · Fax (310) 945-3356

Phone(310) 945-3350

Fax(310) 945-3356

Sole ProprietorNo

Enumeration DateSeptember 27, 2019

Last NPPES UpdateOctober 15, 20242 updates tracked since enumeration

NPPES CertifiedApril 17, 2023

✔ NPI 1124679394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · LMFT130984

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.

Also ListedRehabilitation PractitionerTaxonomy 225400000X

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

9808 VENICE BLVD STE 700, Culver City, CA 90232

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaclyn Nicole Arlo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 20

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

ANNA R. GRELLERT

Rehabilitation Practitioner