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JACKLYN LOUISE SAGE
NPI 1184383846
Marriage & Family Therapist in Burlingame, CA

Active since December 09, 2021Opted out of Medicare · through Jun 20, 2028
1400 ROLLINS RD STE B, BURLINGAME, CA 94010(650) 340-1190 Get Directions Write a Review

NPPES record last updated: December 9, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jacklyn Louise Sage NPPES

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

JACKLYN LOUISE SAGE (NPI 1184383846) is an individual marriage & family therapist in Burlingame, California, licensed in California (37099) and active in the NPI registry since December 2021. She has opted out of Medicare through June 20, 2028.

NPPES Registry Identity

NPI1184383846
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJACKLYN LOUISE SAGE
Location Address1400 ROLLINS RD STE BBurlingame, CA 94010-2315
Mailing Address1400 Rollins Rd Ste BBurlingame, CA 94010-2315 · (650) 773-0100
Phone(650) 340-1190
Sole ProprietorYes
Enumeration DateDecember 9, 2021
NPPES CertifiedDecember 9, 2021
✔ NPI 1184383846 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 · 37099
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.
1400 ROLLINS RD STE B, Burlingame, CA 94010
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jacklyn Louise Sage 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 June 20, 2024 through June 20, 2028.

Opt-Out Effective DateJune 20, 2024
Opt-Out In Effect ThroughJune 20, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Jacklyn Sage's NPI number?

The NPI number for Jacklyn Sage is 1184383846. It was assigned to this individual provider in the NPPES registry on December 9, 2021.

Where is Jacklyn Sage located?

Jacklyn Sage practices at 1400 Rollins Rd Ste B, Burlingame, CA 94010. The listed phone number is (650) 340-1190.

What is Jacklyn Sage's specialty?

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

Is Jacklyn Sage enrolled in Medicare?

No. Jacklyn Sage has opted out of Medicare through June 20, 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 Jacklyn Sage was last updated on December 9, 2021. 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.