JALALEDIN EBRAHIM LMFT
NPI 1255457388
Marriage & Family Therapist in San Jose, CA

Q: What is Jalaledin Ebrahim's NPI number?

The NPI number for Jalaledin Ebrahim is 1255457388. It was assigned to this individual provider in the NPPES registry on March 21, 2007.

Q: What is Jalaledin Ebrahim'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 Jalaledin Ebrahim was last updated on March 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 March 21, 2007PECOS EnrolledAccepts Medicare Assignment

2001 THE ALAMEDA, SAN JOSE, CA 95126(408) 261-7777 Get Directions Write a Review

NPPES record last updated: March 3, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jalaledin Ebrahim Lmft NPPES

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

JALALEDIN EBRAHIM LMFT (NPI 1255457388) is an individual marriage & family therapist in San Jose, California, licensed in California (MFC 50838) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1255457388

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameJALALEDIN EBRAHIMCredential: LMFT

Location Address2001 THE ALAMEDASan Jose, CA 95126-1136

Mailing Address912 Capitola Ave, Apt 8Capitola, CA 95010-2135 · (310) 880-6123

Phone(408) 261-7777

Sole ProprietorYes

Medical School CMSOtherGraduated 2004

Enumeration DateMarch 21, 2007

Last NPPES UpdateMarch 3, 2016

✔ NPI 1255457388 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 · MFC 50838

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.

2001 THE ALAMEDA, San Jose, CA 95126

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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 and accepts Medicare assignment

Jalaledin Ebrahim Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486090966

PECOS Enrollment IDI20240306003223

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 20

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

EDNA STOK

Student in an Organized Health Care Education/Training Program