JONATHAN MICHAEL LEE
NPI 1245662519
Marriage & Family Therapist in Oakland, CA

Q: What is Jonathan Lee's NPI number?

The NPI number for Jonathan Lee is 1245662519. It was assigned to this individual provider in the NPPES registry on August 8, 2013.

Q: What is Jonathan Lee's specialty?

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

Q: Is Jonathan Lee enrolled in Medicare?

No. Jonathan Lee has opted out of Medicare through January 8, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Lee was last updated on October 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 08, 2013Opted out of Medicare · through Jan 8, 2028

3301 E 12TH ST STE 259, OAKLAND, CA 94601(510) 846-1630 Get Directions Write a Review

NPPES record last updated: October 29, 2020. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Oct 29, 2020, Sep 14, 2018, Jul 1, 2016 (3 updates tracked since 2016).

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About Jonathan Michael Lee NPPES

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

JONATHAN MICHAEL LEE (NPI 1245662519) is an individual marriage & family therapist in Oakland, California, licensed in California (122758) and active in the NPI registry since August 2013. He has opted out of Medicare through January 8, 2028 and maintains a secondary practice location in San Francisco.

NPPES Registry Identity

NPI1245662519

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameJONATHAN MICHAEL LEE

Location Address3301 E 12TH ST STE 259Oakland, CA 94601

Mailing Address3301 E 12th St Ste 259Oakland, CA 94601-2940 · (510) 846-1630

Phone(510) 846-1630

Sole ProprietorYes

Enumeration DateAugust 8, 2013

Last NPPES UpdateOctober 29, 20203 updates tracked since enumeration

NPPES CertifiedOctober 29, 2020

✔ NPI 1245662519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Licenses✔ Licensed in CA · 122758✔ Licensed in CA · IMF83114

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3301 E 12TH ST STE 259, Oakland, CA 94601

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Secondary Practice Location 1

Location 11500 Franklin StSan Francisco, CA 94109-4523 · Phone (415) 474-7310 ext. 425

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jonathan Michael Lee 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 8, 2024 through January 8, 2028.

Opt-Out Effective DateJanuary 8, 2024

Opt-Out In Effect ThroughJanuary 8, 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.

Other Providers at the Same Location NPPES 20

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

SANAA BENJELLOUN

Specialist