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MR. JORDAN GABRIEL PELOT M.A., LMFT
NPI 1306127246
Marriage & Family Therapist in Berkeley, CA

Active since September 06, 2011PECOS EnrolledAccepts Medicare Assignment
2901 SHATTUCK AVE, SUITE E., BERKELEY, CA 94705(510) 698-2579 Get Directions Write a Review

NPPES record last updated: September 21, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1306127246
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. JORDAN GABRIEL PELOTCredential: M.A., LMFT
Location Address2901 SHATTUCK AVE, SUITE E.Berkeley, CA 94705-1808
Mailing AddressPo Box 3943Berkeley, CA 94703-0943 · (510) 698-2579
Phone(510) 698-2579
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 6, 2011
Last NPPES UpdateSeptember 21, 2016
✔ NPI 1306127246 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 · 93693
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.
2901 SHATTUCK AVE, Berkeley, CA 94705
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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

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.

PECOS PAC ID840643078
PECOS Enrollment IDI20240124001972
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.

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.

Group psychotherapy 90853
Group psychotherapy involves individuals discussing their issues in a group setting, led by a professional therapist. It provides a supportive environment where members can learn from each other's experiences, gain different perspectives, and develop new ways to handle challenges.
95 services36 patients

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.

DR. VALORY JEAN MITCHELL PH.D.
Psychologist (Clinical)
2901 SHATTUCK AVE
BERKELEY, CA 94705
Alameda County (510) 548-8393
JONATHAN BURSTEIN MA
Marriage & Family Therapist
2901 SHATTUCK AVE, OAK CREEK CENTER
BERKELEY, CA 94705
Alameda County (188) 863-7740
PROF. THOMAS CHRISTOPH MICHAHELLES LMFT
Marriage & Family Therapist
2901 SHATTUCK AVE, SUITE 'E'
BERKELEY, CA 94705
Alameda County (510) 649-9663

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.

What insurance does Jordan Pelot accept?

Health plans from Providence Health Plan list Jordan Pelot as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 9 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.