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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

JEANETTE SHEPHERD
NPI 1255060026
Marriage & Family Therapist in San Diego, CA

Active since June 07, 2022Opted out of Medicare · through Dec 15, 2027
9820 WILLOW CREEK RD STE 445, SAN DIEGO, CA 92131(619) 881-0363 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 16, 2026, Jun 6, 2026, Jun 28, 2024 and 3 more (6 updates tracked since 2022).

About Jeanette Shepherd NPPES

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

JEANETTE SHEPHERD (NPI 1255060026) is an individual marriage & family therapist in San Diego, California, licensed in California (159853) and active in the NPI registry since June 2022. She has opted out of Medicare through December 15, 2027.

NPPES Registry Identity

NPI1255060026
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJEANETTE SHEPHERD
Location Address9820 WILLOW CREEK RD STE 445San Diego, CA 92131-1115
Mailing Address9820 Willow Creek Rd Ste 445San Diego, CA 92131-1115 · (619) 881-0363
Phone(619) 881-0363
Sole ProprietorYes
Enumeration DateJune 7, 2022
Last NPPES UpdateJuly 16, 20266 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
✔ NPI 1255060026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 159853
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.
9820 WILLOW CREEK RD STE 445, San Diego, CA 92131
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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

Jeanette Shepherd 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 December 15, 2025 through December 15, 2027.

Opt-Out Effective DateDecember 15, 2025
Opt-Out In Effect ThroughDecember 15, 2027Opt-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

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

LEE PATRICIA DANA MFT
Marriage & Family Therapist
9820 WILLOW CREEK RD STE 445
SAN DIEGO, CA 92131
San Diego County (619) 859-1863

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 Jeanette Shepherd's NPI number?

The NPI number for Jeanette Shepherd is 1255060026. It was assigned to this individual provider in the NPPES registry on June 7, 2022.

Where is Jeanette Shepherd located?

Jeanette Shepherd practices at 9820 Willow Creek Rd Ste 445, San Diego, CA 92131. The listed phone number is (619) 881-0363.

What is Jeanette Shepherd's specialty?

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

Is Jeanette Shepherd enrolled in Medicare?

No. Jeanette Shepherd has opted out of Medicare through December 15, 2027. 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 Jeanette Shepherd was last updated on July 16, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.