MR. JORDAN GABRIEL PELOT M.A., LMFT
NPI 1306127246
Marriage & Family Therapist in Berkeley, CA
About Mr. Jordan Gabriel Pelot M.a., Lmft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JORDAN GABRIEL PELOT M.A., LMFT (NPI 1306127246) is an individual marriage & family therapist in Berkeley, California, licensed in California (93693) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Jordan Gabriel Pelot M.a., 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jordan Pelot reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Oakland, CA 94602
- Reassigned Medicare billing, California enrollment
- 900 clinicians in this Medicare group
Sebastopol, CA 95472
- Reassigned Medicare billing, California enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BERKELEY, CA 94705
BERKELEY, CA 94705
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 Jordan Pelot's NPI number?
The NPI number for Jordan Pelot is 1306127246. It was assigned to this individual provider in the NPPES registry on September 6, 2011.
Where is Jordan Pelot located?
Jordan Pelot practices at 2901 Shattuck Ave Suite E., Berkeley, CA 94705. The listed phone number is (510) 698-2579.
What is Jordan Pelot's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Jordan Pelot enrolled in Medicare?
Yes. Jordan Pelot is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jordan Pelot's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Pelot reassigns Medicare benefits to 2 organizations: Alameda Health System (Oakland, CA) and Bay Area Center For Psychotherapy (Sebastopol, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jordan Pelot's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jordan Pelot was last updated on September 21, 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.
# Mr. Jordan Gabriel Pelot, M.A., LMFT · NPI 1306127246
Marriage & Family Therapist provider in Berkeley, California. Individual provider, active in the CMS NPPES registry since September 6, 2011.
## Identity
- **NPI:** 1306127246 (Entity type: Individual)
- **Enumerated:** September 6, 2011
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 93693 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2901 SHATTUCK AVE, SUITE E., Berkeley, CA 94705-1808
- **Phone:** (510) 698-2579
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Alameda Health System (NPI 1740332931, Oakland, CA); Bay Area Center For Psychotherapy (NPI 1033634928, Sebastopol, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** September 21, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1306127246) · Data from the CMS NPPES public registry.