1. Home
  2. Directory
  3. California
  4. Orange
  5. Marriage Family Therapist
  6. NPI Profile

MRS. JENNA SAMUELS LMFT 85477
NPI 1285986729
Marriage & Family Therapist in Orange, CA

Active since October 08, 2012Opted out of Medicare · through Jan 11, 2028
1100 W TOWN AND COUNTRY RD STE 1250, ORANGE, CA 92868(562) 704-6815 Get Directions Write a Review

NPPES record last updated: January 22, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 22, 2022, Jun 10, 2021, Dec 22, 2020 and 2 more (5 updates tracked since 2018).

About Mrs. Jenna Samuels Lmft 85477 NPPES

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

MRS. JENNA SAMUELS LMFT 85477 (NPI 1285986729) is an individual marriage & family therapist in Orange, California, licensed in California (85477) and active in the NPI registry since October 2012. She has opted out of Medicare through January 11, 2028.

NPPES Registry Identity

NPI1285986729
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMRS. JENNA SAMUELSCredential: LMFT 85477
Location Address1100 W TOWN AND COUNTRY RD STE 1250Orange, CA 92868-4633
Mailing Address1100 W Town And Country Rd Ste 1250Orange, CA 92868-4633 · (562) 704-6815
Phone(562) 704-6815
Sole ProprietorYes
Enumeration DateOctober 8, 2012
Last NPPES UpdateJanuary 22, 20225 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2022
✔ NPI 1285986729 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 · 85477
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.
1100 W TOWN AND COUNTRY RD STE 1250, Orange, CA 92868
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Jenna Samuels Lmft 85477 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 11, 2024 through January 11, 2028.

Opt-Out Effective DateJanuary 11, 2024
Opt-Out In Effect ThroughJanuary 11, 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.

DANIEL KWON
Behavior Technician
1100 W TOWN AND COUNTRY RD STE 1250
ORANGE, CA 92868
Orange County (844) 669-7827
BERENICE PLASCENCIA
Behavior Technician
1100 W TOWN AND COUNTRY RD STE 1250
ORANGE, CA 92868
Orange County (949) 357-2556
BRENDA KIM TRAN
Behavior Technician
1100 W TOWN AND COUNTRY RD STE 1250
ORANGE, CA 92868
Orange County (949) 357-2556
KELLIE A RIEGER NONE
Behavior Technician
1100 W TOWN AND COUNTRY RD STE 1250
ORANGE, CA 92868
Orange County (949) 357-2556
ELIZABETH VERONICA ALTAMIRANO
Marriage & Family Therapist
1100 W TOWN AND COUNTRY RD STE 1250
ORANGE, CA 92868
Orange County (657) 339-2799
MERA HABIB
Behavior Technician
1100 W TOWN AND COUNTRY RD STE 1250
ORANGE, CA 92868
Orange County (949) 357-2556
MIA SCHERRER
Behavior Technician
1100 W TOWN AND COUNTRY RD STE 1250
ORANGE, CA 92868
Orange County (949) 357-2556
FRAXINE DILLAGUE
Behavior Technician
1100 W TOWN AND COUNTRY RD STE 1250
ORANGE, CA 92868
Orange County (949) 357-2556

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 Jenna Samuels's NPI number?

The NPI number for Jenna Samuels is 1285986729. It was assigned to this individual provider in the NPPES registry on October 8, 2012.

Where is Jenna Samuels located?

Jenna Samuels practices at 1100 W Town And Country Rd Ste 1250, Orange, CA 92868. The listed phone number is (562) 704-6815.

What is Jenna Samuels's specialty?

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

Is Jenna Samuels enrolled in Medicare?

No. Jenna Samuels has opted out of Medicare through January 11, 2028. 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 Jenna Samuels was last updated on January 22, 2022. 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.