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DR. JACK MAYHALL LMFT
NPI 1336379171
Marriage & Family Therapist in Northridge, CA

Active since July 14, 2009PECOS Enrolled
9325 WHITE OAK AVE, NORTHRIDGE, CA 91325(310) 422-6803 Get Directions Write a Review

NPPES record last updated: December 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jack Mayhall Lmft NPPES

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

DR. JACK MAYHALL LMFT (NPI 1336379171) is an individual marriage & family therapist in Northridge, California, licensed in California (MFC33009) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336379171
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameDR. JACK MAYHALLCredential: LMFT
Location Address9325 WHITE OAK AVENorthridge, CA 91325-2347
Mailing Address9325 White Oak AveNorthridge, CA 91325-2347 · (310) 422-6803
Phone(310) 422-6803
Sole ProprietorYes
Enumeration DateJuly 14, 2009
Last NPPES UpdateDecember 28, 2023
NPPES CertifiedDecember 28, 2023
✔ NPI 1336379171 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 · MFC33009
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.
9325 WHITE OAK AVE, Northridge, CA 91325
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jack Mayhall Lmft 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.

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 Jack Mayhall's NPI number?

The NPI number for Jack Mayhall is 1336379171. It was assigned to this individual provider in the NPPES registry on July 14, 2009.

Where is Jack Mayhall located?

Jack Mayhall practices at 9325 White Oak Ave, Northridge, CA 91325. The listed phone number is (310) 422-6803.

What is Jack Mayhall's specialty?

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

Is Jack Mayhall enrolled in Medicare?

Yes. Jack Mayhall is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jack Mayhall was last updated on December 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.