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MS. ALEXANDRA MIRIAM JANSEN LMFT
NPI 1295265502
Counselor - Mental Health in Benicia, CA

Active since June 19, 2017Opted out of Medicare · through May 14, 2028
560 1ST ST STE A203, BENICIA, CA 94510(510) 629-1448 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 19, 2024, Aug 20, 2018, Aug 3, 2018 and 2 more (5 updates tracked since 2017).

About Ms. Alexandra Miriam Jansen Lmft NPPES

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

MS. ALEXANDRA MIRIAM JANSEN LMFT (NPI 1295265502) is an individual mental health provider in Benicia, California, licensed in California (143648) and active in the NPI registry since June 2017. She has opted out of Medicare through May 14, 2028 and maintains a secondary practice location in Oakland.

NPPES Registry Identity

NPI1295265502
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. ALEXANDRA MIRIAM JANSENCredential: LMFT
Location Address560 1ST ST STE A203Benicia, CA 94510-3299
Mailing Address3823 V St Ste 1Sacramento, CA 95817-1350 · (510) 244-3966
Phone(510) 629-1448
Sole ProprietorNo
Enumeration DateJune 19, 2017
Last NPPES UpdateNovember 19, 20245 updates tracked since enumeration
NPPES CertifiedNovember 19, 2024
✔ NPI 1295265502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · 143648
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
560 1ST ST STE A203, Benicia, CA 94510
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Secondary Practice Location 1

Location 11266 14th StOakland, CA 94607 · Phone (925) 261-8273

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Alexandra Miriam Jansen 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 May 14, 2024 through May 14, 2028.

Opt-Out Effective DateMay 14, 2024
Opt-Out In Effect ThroughMay 14, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Alexandra Jansen's NPI number?

The NPI number for Alexandra Jansen is 1295265502. It was assigned to this individual provider in the NPPES registry on June 19, 2017.

Where is Alexandra Jansen located?

Alexandra Jansen practices at 560 1st St Ste A203, Benicia, CA 94510. The listed phone number is (510) 629-1448.

What is Alexandra Jansen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Alexandra Jansen enrolled in Medicare?

No. Alexandra Jansen has opted out of Medicare through May 14, 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 Alexandra Jansen was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.