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

Q: 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.

Q: What is Jessica Judkins'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 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 4 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.

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: August 16, 2026.

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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, and ordering and referring status from the CMS PECOS system.

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.

Other Providers at the Same Location NPPES 3

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

ASHRAF KHATER LCSW

Social Worker (Clinical)

3316 LAGUNA WAY STE B
OAKLAND, CA 94602

Alameda County (415) 326-3707

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.

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 4 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.