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JEFF DONOVAN CONKLIN
NPI 1215102991
Counselor - Mental Health in Grass Valley, CA

Active since April 24, 2008
565 BRUNSWICK RD, STE 10, GRASS VALLEY, CA 95945(530) 575-9056(530) 271-5992 Get Directions Write a Review

NPPES record last updated: August 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeff Donovan Conklin NPPES

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

JEFF DONOVAN CONKLIN (NPI 1215102991) is an individual mental health provider in Grass Valley, California, licensed in California (PSY 24549) and active in the NPI registry since April 2008. He is a graduate of Other (2008).

NPPES Registry Identity

NPI1215102991
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJEFF DONOVAN CONKLIN
Location Address565 BRUNSWICK RD, STE 10Grass Valley, CA 95945-9529
Mailing Address11099 Success Cross RdNevada City, CA 95959-3470 · (530) 575-9056
Phone(530) 575-9056
Fax(530) 271-5992
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateApril 24, 2008
Last NPPES UpdateAugust 12, 2021
NPPES CertifiedAugust 12, 2021
✔ NPI 1215102991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · PSY 24549
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License PSY24549 (CA)
565 BRUNSWICK RD, Grass Valley, CA 95945
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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)

Jeff Donovan Conklin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476718768
PECOS Enrollment IDI20120712000348

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
558 services19 patients

Other Providers at the Same Location NPPES 8

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

DR. ROBERT DEAN MORGAN DC
Chiropractor
565 BRUNSWICK RD, SUITE 5
GRASS VALLEY, CA 95945
Nevada County (530) 274-7007
GOLDEN STATE PHYSICAL THERAPY INC
Occupational Therapist (Hand)
565 BRUNSWICK RD
GRASS VALLEY, CA 95945
Nevada County (530) 273-4152
BARRY ANGUS TURNER D.M.D.
Dentist
565 BRUNSWICK RD, SUITE #2
GRASS VALLEY, CA 95945
Nevada County (530) 273-6168
ROBERT D. MORGAN, D.C., INC.
Chiropractor
565 BRUNSWICK RD, SUITE 5
GRASS VALLEY, CA 95945
Nevada County (530) 274-7007
DR. CHRISTOPHER MONTANARO D.O.
General Practice
565 BRUNSWICK RD, SUITE #1
GRASS VALLEY, CA 95945
Nevada County (530) 274-7174
EMERY & IVEY PHYSICAL THERAPY
Physical Therapist
565 BRUNSWICK RD, SUITE 4
GRASS VALLEY, CA 95945
Nevada County (530) 273-4152
KEVIN DALE IVEY P.T.
Physical Therapist
565 BRUNSWICK RD, SUITE 4
GRASS VALLEY, CA 95945
Nevada County (530) 273-4152
ROBERT D.MORGAN, D.C., INC
Clinic/Center
565 BRUNSWICK RD, SUITE 5
GRASS VALLEY, CA 95945
Nevada County (530) 274-7007

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 Jeff Conklin's NPI number?

The NPI number for Jeff Conklin is 1215102991. It was assigned to this individual provider in the NPPES registry on April 24, 2008.

Where is Jeff Conklin located?

Jeff Conklin practices at 565 Brunswick Rd Ste 10, Grass Valley, CA 95945. The listed phone number is (530) 575-9056.

What is Jeff Conklin's specialty?

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

Is Jeff Conklin enrolled in Medicare?

Yes. Jeff Conklin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeff Conklin was last updated on August 12, 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.