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MISS JESSICA NICOLE JUDKINS
NPI 1205052362
Marriage & Family Therapist in Oakland, CA

Active since April 17, 2007PECOS Enrolled
3316 LAGUNA WAY STE B, OAKLAND, CA 94602(510) 214-3066 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Miss Jessica Nicole Judkins NPPES

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

MISS JESSICA NICOLE JUDKINS (NPI 1205052362) is an individual marriage & family therapist in Oakland, California and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1205052362
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMISS JESSICA NICOLE JUDKINS
Location Address3316 LAGUNA WAY STE BOakland, CA 94602-2818
Mailing Address3316 Laguna Way Ste BOakland, CA 94602-2818 · (510) 214-3066
Phone(510) 214-3066
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateApril 17, 2007
Last NPPES UpdateMarch 26, 2026
NPPES CertifiedMarch 26, 2026
✔ NPI 1205052362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
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.
3316 LAGUNA WAY STE B, Oakland, CA 94602
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Jessica Nicole Judkins is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254808850
PECOS Enrollment IDI20260430002074
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.

Medicare Billing Reassignment

Medicare enrollment records show Jessica Judkins reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cyti Health PC
452 mi
Mental Health (Including Community Mental Health Center)
402 W BROADWAY STE 400
San Diego, CA 92101
  • Reassigned Medicare billing, California enrollment
  • 545 clinicians in this Medicare group
NPI 1679172290 (866) 478-3978

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

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

RACHEL MENDOZA LASTIMOSA AMFT
Marriage & Family Therapist
3316 LAGUNA WAY STE B
OAKLAND, CA 94602
Alameda County (415) 570-7433
TALIA PENINA CHANOFF MA, LMFT
Marriage & Family Therapist
3316 LAGUNA WAY STE B
OAKLAND, CA 94602
Alameda County (925) 255-5267
ASHRAF KHATER LCSW
Social Worker (Clinical)
3316 LAGUNA WAY STE B
OAKLAND, CA 94602
Alameda County (415) 326-3707
LARA M CLAYMAN LCSW
Social Worker (Clinical)
3316 LAGUNA WAY STE B
OAKLAND, CA 94602
Alameda County (510) 292-3817
REBECCA BEREN
Counselor (Mental Health)
3316 LAGUNA WAY STE B
OAKLAND, CA 94602
Alameda County (510) 255-1803

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 Jessica Judkins's NPI number?

The NPI number for Jessica Judkins is 1205052362. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Where is Jessica Judkins located?

Jessica Judkins practices at 3316 Laguna Way Ste B, Oakland, CA 94602. The listed phone number is (510) 214-3066.

What is Jessica Judkins's specialty?

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

Is Jessica Judkins enrolled in Medicare?

Yes. Jessica Judkins is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Judkins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Judkins reassigns Medicare benefits to Cyti Health PC (San Diego, 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 Jessica Judkins'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 Jessica Judkins was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.