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

JILL PETTEGREW LMFT
NPI 1306268685
Marriage & Family Therapist in Concord, CA

Active since January 06, 2014Opted out of Medicare · through Jan 14, 2028
1450 CIVIC CT STE 200, CONCORD, CA 94520(925) 671-0777 Get Directions Write a Review

NPPES record last updated: May 15, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jill Pettegrew Lmft NPPES

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

JILL PETTEGREW LMFT (NPI 1306268685) is an individual marriage & family therapist in Concord, California, licensed in California (MFT94476) and active in the NPI registry since January 2014. She has opted out of Medicare through January 14, 2028.

NPPES Registry Identity

NPI1306268685
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJILL PETTEGREWCredential: LMFT
Location Address1450 CIVIC CT STE 200Concord, CA 94520
Mailing Address3623 Wisconsin StOakland, CA 94619-1541 · (510) 290-5330
Phone(925) 671-0777
Sole ProprietorNo
Enumeration DateJanuary 6, 2014
Last NPPES UpdateMay 15, 2018
✔ NPI 1306268685 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 · MFT94476
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.
1450 CIVIC CT STE 200, Concord, CA 94520
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

Jill Pettegrew 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 January 14, 2024 through January 14, 2028.

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SHELLY KWAK
Marriage & Family Therapist
1450 CIVIC CT STE 200
CONCORD, CA 94520
Contra Costa County (925) 671-0777

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 Jill Pettegrew's NPI number?

The NPI number for Jill Pettegrew is 1306268685. It was assigned to this individual provider in the NPPES registry on January 6, 2014.

Where is Jill Pettegrew located?

Jill Pettegrew practices at 1450 Civic Ct Ste 200, Concord, CA 94520. The listed phone number is (925) 671-0777.

What is Jill Pettegrew's specialty?

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

Is Jill Pettegrew enrolled in Medicare?

No. Jill Pettegrew has opted out of Medicare through January 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 Jill Pettegrew was last updated on May 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.