JENNIFER AGOSTINELLI MFT
NPI 1174937221
Marriage & Family Therapist in Daly City, CA

Active since June 17, 2014Opted out of Medicare · through Feb 1, 2028
2001 JUNIPERO SERRA BLVD, DALY CITY, CA 94014(626) 621-0400 Get Directions Write a Review

NPPES record last updated: March 9, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jennifer Agostinelli Mft NPPES

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

JENNIFER AGOSTINELLI MFT (NPI 1174937221) is an individual marriage & family therapist in Daly City, California, licensed in California (78080) and active in the NPI registry since June 2014. She has opted out of Medicare through February 1, 2028.

NPPES Registry Identity

NPI1174937221
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJENNIFER AGOSTINELLICredential: MFT
Location Address2001 JUNIPERO SERRA BLVDDaly City, CA 94014
Mailing Address58 W Portal Ave # 289San Francisco, CA 94127-1304 · (626) 621-0400
Sole ProprietorYes
Enumeration DateJune 17, 2014
Last NPPES UpdateMarch 9, 2022
NPPES CertifiedFebruary 22, 2022
NPI 1174937221 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 · 78080
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.
2001 JUNIPERO SERRA BLVD, Daly City, CA 94014

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Jennifer Agostinelli Mft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 1, 2024 through February 1, 2028.

Opt-Out Effective DateFebruary 1, 2024
Opt-Out In Effect ThroughFebruary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 13

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

Social Worker (Clinical)
2001 JUNIPERO SERRA BLVD
DALY CITY, CA 94014
Psychologist (Clinical)
2001 JUNIPERO SERRA BLVD, SUITE 650
DALY CITY, CA 94014
Psychologist
2001 JUNIPERO SERRA BLVD
DALY CITY, CA 94014
Counselor (Professional)
2001 JUNIPERO SERRA BLVD
DALY CITY, CA 94014
Social Worker (Clinical)
2001 JUNIPERO SERRA BLVD
DALY CITY, CA 94014
Psychologist
2001 JUNIPERO SERRA BLVD
DALY CITY, CA 94014
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
2001 JUNIPERO SERRA BLVD, SUITE 535
DALY CITY, CA 94014
Marriage & Family Therapist
2001 JUNIPERO SERRA BLVD
DALY CITY, CA 94014

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 Jennifer Agostinelli's NPI number?

The NPI number for Jennifer Agostinelli is 1174937221. It was assigned to this individual provider in the NPPES registry on June 17, 2014.

Where is Jennifer Agostinelli located?

Jennifer Agostinelli practices at 2001 Junipero Serra Blvd, Daly City, CA 94014. The listed phone number is (626) 621-0400.

What is Jennifer Agostinelli's specialty?

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

Is Jennifer Agostinelli enrolled in Medicare?

No. Jennifer Agostinelli has opted out of Medicare through February 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jennifer Agostinelli was last updated on March 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.