JASON RIDDELL - NPI 1306263546 - Marriage & Family Therapist in Sacramento, CA

Q: What is Jason Riddell's NPI number?

The NPI number for Jason Riddell is 1306263546. It was assigned to this individual provider in the NPPES registry on March 26, 2014.

Q: What is Jason Riddell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jason Riddell was last updated on August 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

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About Jason Riddell NPPES

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

JASON RIDDELL (NPI 1306263546) is an individual marriage & family therapist in Sacramento, California, licensed in California (AMFT108525) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS and maintains a secondary practice location in Elk Grove.

NPPES Registry Identity

NPI1306263546

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameJASON RIDDELL

Location Address8912 VOLUNTEER LNSacramento, CA 95826

Mailing Address8912 Volunteer LnSacramento, CA 95826-3221 · (916) 344-0199

Phone(916) 344-0199

Sole ProprietorNo

Enumeration DateMarch 26, 2014

Last NPPES UpdateAugust 23, 20193 updates tracked since enumeration

✔ NPI 1306263546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · AMFT108525

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.

Also ListedCounselorTaxonomy 101Y00000X

8912 VOLUNTEER LN, Sacramento, CA 95826

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Secondary Practice Location 1

Location 19412 Big Horn Blvd Ste 6Elk Grove, CA 95758 · Phone (916) 226-2800

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jason Riddell is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

MR. AUGUSTINE ANTONIO GARCIA JR. BSW

Counselor