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JENESSA PASCOE DAUGHERTY MA
NPI 1205121480
Counselor - Mental Health in San Diego, CA

Active since June 15, 2011Opted out of Medicare · through Jan 11, 2028
8202 REGENTS RD, APT 301, SAN DIEGO, CA 92122(619) 736-9117 Get Directions Write a Review

NPPES record last updated: January 5, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jenessa Pascoe Daugherty Ma NPPES

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

JENESSA PASCOE DAUGHERTY MA (NPI 1205121480) is an individual mental health provider in San Diego, California, licensed in California (96860) and active in the NPI registry since June 2011. She has opted out of Medicare through January 11, 2028.

NPPES Registry Identity

NPI1205121480
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJENESSA PASCOE DAUGHERTYCredential: MA
Location Address8202 REGENTS RD, APT 301San Diego, CA 92122-1376
Mailing Address8202 Regents Rd, Apt 301San Diego, CA 92122-1376 · (619) 736-9117
Phone(619) 736-9117
Sole ProprietorYes
Enumeration DateJune 15, 2011
Last NPPES UpdateJanuary 5, 2017
✔ NPI 1205121480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in CA · 96860✔ Licensed in WA · LH60224970
8202 REGENTS RD, San Diego, CA 92122
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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

Jenessa Pascoe Daugherty Ma 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 January 11, 2024 through January 11, 2028.

Opt-Out Effective DateJanuary 11, 2024
Opt-Out In Effect ThroughJanuary 11, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Jenessa Daugherty's NPI number?

The NPI number for Jenessa Daugherty is 1205121480. It was assigned to this individual provider in the NPPES registry on June 15, 2011.

Where is Jenessa Daugherty located?

Jenessa Daugherty practices at 8202 Regents Rd Apt 301, San Diego, CA 92122. The listed phone number is (619) 736-9117.

What is Jenessa Daugherty's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jenessa Daugherty enrolled in Medicare?

No. Jenessa Daugherty has opted out of Medicare through January 11, 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 Jenessa Daugherty was last updated on January 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.