JILLIAN KATHLEEN PERRY LMFT
NPI 1275189011
Marriage & Family Therapist in San Ramon, CA

Q: What is Jillian Perry's NPI number?

The NPI number for Jillian Perry is 1275189011. It was assigned to this individual provider in the NPPES registry on August 16, 2019.

Q: What is Jillian Perry's specialty?

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

Q: Is Jillian Perry enrolled in Medicare?

No. Jillian Perry has opted out of Medicare through January 23, 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 Jillian Perry was last updated on April 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 16, 2019Opted out of Medicare · through Jan 23, 2028

3180 CROW CANYON PL STE 140, SAN RAMON, CA 94583(925) 240-3182 Get Directions Write a Review

NPPES record last updated: April 13, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 13, 2023, Oct 12, 2022, Aug 16, 2019 (3 updates tracked since 2019).

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About Jillian Kathleen Perry Lmft NPPES

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

JILLIAN KATHLEEN PERRY LMFT (NPI 1275189011) is an individual marriage & family therapist in San Ramon, California, licensed in California (138633) and active in the NPI registry since August 2019. She has opted out of Medicare through January 23, 2028.

NPPES Registry Identity

NPI1275189011

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameJILLIAN KATHLEEN PERRYCredential: LMFT

Location Address3180 CROW CANYON PL STE 140San Ramon, CA 94583-1339

Mailing Address3180 Crow Canyon Pl Ste 140San Ramon, CA 94583-1339 · (925) 240-3182

Phone(925) 240-3182

Sole ProprietorYes

Enumeration DateAugust 16, 2019

Last NPPES UpdateApril 13, 20233 updates tracked since enumeration

NPPES CertifiedApril 13, 2023

✔ NPI 1275189011 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 · 138633

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.

3180 CROW CANYON PL STE 140, San Ramon, CA 94583

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Jillian Kathleen Perry Lmft 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 23, 2024 through January 23, 2028.

Opt-Out Effective DateJanuary 23, 2024

Opt-Out In Effect ThroughJanuary 23, 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.

SHYLAH ABBIE BLATT

Marriage & Family Therapist