MS. MARQUETTA MCCLEOD LMFT
NPI 1174788749
Marriage & Family Therapist in Vallejo, CA
About Ms. Marquetta Mccleod Lmft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. MARQUETTA MCCLEOD LMFT (NPI 1174788749) is an individual marriage & family therapist in Vallejo, California, licensed in California (115293) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Marquetta Mccleod Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Marquetta Mccleod reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Jose, CA 95113
- Reassigned Medicare billing, California enrollment
- 3,139 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Marquetta Mccleod's NPI number?
The NPI number for Marquetta Mccleod is 1174788749. It was assigned to this individual provider in the NPPES registry on July 23, 2008.
Where is Marquetta Mccleod located?
Marquetta Mccleod practices at 100 Harrier Ave., Vallejo, CA 94590. The listed phone number is (707) 561-1729.
What is Marquetta Mccleod's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Marquetta Mccleod enrolled in Medicare?
Yes. Marquetta Mccleod is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Marquetta Mccleod's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marquetta Mccleod reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marquetta Mccleod's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Marquetta Mccleod was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Ms. Marquetta Mccleod, LMFT · NPI 1174788749
Marriage & Family Therapist provider in Vallejo, California. Individual provider, active in the CMS NPPES registry since July 23, 2008.
## Identity
- **NPI:** 1174788749 (Entity type: Individual)
- **Enumerated:** July 23, 2008
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 115293 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 100 HARRIER AVE., Vallejo, CA 94590
- **Phone:** (707) 561-1729
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Grow Healthcare Group PC (NPI 1154994846, San Jose, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** July 15, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1174788749) · Data from the CMS NPPES public registry.