JONATHAN FRIEDMAN M.A.
NPI 1457404113
Counselor - Mental Health in San Diego, CA

Q: What is Jonathan Friedman's NPI number?

The NPI number for Jonathan Friedman is 1457404113. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Q: What is Jonathan Friedman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jonathan Friedman was last updated on February 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since January 18, 2007PECOS Enrolled

734 10TH AVE, SAN DIEGO, CA 92101(619) 239-4663 Get Directions Write a Review

NPPES record last updated: February 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 28, 2025, Jan 10, 2025 (2 updates tracked since 2025).

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About Jonathan Friedman M.a. NPPES

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

JONATHAN FRIEDMAN M.A. (NPI 1457404113) is an individual mental health provider in San Diego, California and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fort Myers.

NPPES Registry Identity

NPI1457404113

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameJONATHAN FRIEDMANCredential: M.A.

Location Address734 10TH AVESan Diego, CA 92101-6502

Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-6050 · Fax (239) 343-6051

Phone(619) 239-4663

Sole ProprietorNo

Enumeration DateJanuary 18, 2007

Last NPPES UpdateFebruary 28, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 28, 2025

✔ NPI 1457404113 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

Also ListedPsychologistTaxonomy 103T00000X · License PY12323 (FL)

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PY12323 (FL)

734 10TH AVE, San Diego, CA 92101

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Secondary Practice Location 1

Location 115901 Bass Rd Ste 102Fort Myers, FL 33908-3838 · Phone (239) 343-6050 · Fax (239) 343-6051

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan Friedman M.a. 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.

ALISSA ANN MAITINO M.A.

Counselor (Mental Health)