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JEREMY LIVINGSTON
NPI 1386004679
Counselor - Mental Health in Ukiah, CA

Active since February 29, 2016PECOS Enrolled
631 S ORCHARD AVE, UKIAH, CA 95482(707) 467-2010 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 13, 2025, Oct 24, 2018, Oct 1, 2018 and 1 more (4 updates tracked since 2016).

About Jeremy Livingston NPPES

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

JEREMY LIVINGSTON (NPI 1386004679) is an individual mental health provider in Ukiah, California, licensed in California (89721) and active in the NPI registry since February 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1386004679
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJEREMY LIVINGSTON
Location Address631 S ORCHARD AVEUkiah, CA 95482-5011
Mailing AddressPo Box 2077Ukiah, CA 95482-2077 · (707) 467-2010
Phone(707) 467-2010
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 29, 2016
Last NPPES UpdateAugust 13, 20254 updates tracked since enumeration
NPPES CertifiedAugust 13, 2025
✔ NPI 1386004679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · 89721
Also ListedCounselorTaxonomy 101Y00000X
Also ListedRehabilitation CounselorTaxonomy 225C00000X
631 S ORCHARD AVE, Ukiah, CA 95482
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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)

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

PECOS PAC ID7416465513
PECOS Enrollment IDI20250731002882
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.

ASHLEY CHRISTINA CLAY
Community Health Worker
631 S ORCHARD AVE
UKIAH, CA 95482
Mendocino County (707) 467-2010
TIMOTHY SWAN
Day Training/Habilitation Specialist
631 S ORCHARD AVE
UKIAH, CA 95482
Mendocino County (707) 467-2010
DONNA MYERS
Day Training/Habilitation Specialist
631 S ORCHARD AVE
UKIAH, CA 95482
Mendocino County (707) 467-2010
ASHLEY RABANO
Counselor
631 S ORCHARD AVE
UKIAH, CA 95482
Mendocino County (707) 467-2010
DAVID FETZER
Day Training/Habilitation Specialist
631 S ORCHARD AVE
UKIAH, CA 95482
Mendocino County (707) 467-2010
JORGE MENDOZA REYES
Day Training/Habilitation Specialist
631 S ORCHARD AVE
UKIAH, CA 95482
Mendocino County (707) 467-2010
MRS. RIVA SORAH LEAH ORR
Counselor (Professional)
631 S ORCHARD AVE
UKIAH, CA 95482
Mendocino County (707) 467-2010
LEONORE HERNANDEZ
Day Training/Habilitation Specialist
631 S ORCHARD AVE
UKIAH, CA 95482
Mendocino County (707) 467-2010

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 Jeremy Livingston's NPI number?

The NPI number for Jeremy Livingston is 1386004679. It was assigned to this individual provider in the NPPES registry on February 29, 2016.

Where is Jeremy Livingston located?

Jeremy Livingston practices at 631 S Orchard Ave, Ukiah, CA 95482. The listed phone number is (707) 467-2010.

What is Jeremy Livingston's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jeremy Livingston enrolled in Medicare?

Yes. Jeremy Livingston is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeremy Livingston was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.