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MR. JORDAN MICHAEL ZICKAFOOSE LMFT
NPI 1457773236
Marriage & Family Therapist in Fresno, CA

Active since January 13, 2014PECOS Enrolled
6051 N FRESNO ST STE 201, FRESNO, CA 93710(559) 248-8550(559) 248-8555 Get Directions Write a Review

NPPES record last updated: December 6, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 6, 2024, Dec 17, 2019 (2 updates tracked since 2019).

About Mr. Jordan Michael Zickafoose Lmft NPPES

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

MR. JORDAN MICHAEL ZICKAFOOSE LMFT (NPI 1457773236) is an individual marriage & family therapist in Fresno, California, licensed in California (151435) and active in the NPI registry since January 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1457773236
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. JORDAN MICHAEL ZICKAFOOSECredential: LMFT
Location Address6051 N FRESNO ST STE 201Fresno, CA 93710-5280
Mailing Address6051 N Fresno St Ste 201Fresno, CA 93710-5280 · (559) 248-8550 · Fax (559) 248-8555
Phone(559) 248-8550
Fax(559) 248-8555
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJanuary 13, 2014
Last NPPES UpdateDecember 6, 20242 updates tracked since enumeration
NPPES CertifiedDecember 6, 2024
✔ NPI 1457773236 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 · 151435
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.
6051 N FRESNO ST STE 201, Fresno, CA 93710
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jordan Michael Zickafoose Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476038001
PECOS Enrollment IDI20260331003818
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.

Medicare Billing Reassignment

Medicare enrollment records show Jordan Zickafoose reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pacific Clinics
0.1 mi
Community/Behavioral Health
6051 N FRESNO ST STE 201
Fresno, CA 93710
  • Reassigned Medicare billing, California enrollment
  • 156 clinicians in this Medicare group
NPI 1336458934 (559) 248-8550

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

JASMIN IRIRIAN LIYANAGE
Day Training/Habilitation Specialist
6051 N FRESNO ST STE 201
FRESNO, CA 93710
Fresno County (559) 248-8550
HANNAH MARIE WARNERT LMFT
Marriage & Family Therapist
6051 N FRESNO ST STE 201
FRESNO, CA 93710
Fresno County (408) 425-5730
JEANETTE ARIADNA ARREGUIN
Community Health Worker
6051 N FRESNO ST STE 201
FRESNO, CA 93710
Fresno County (559) 248-8550
KATELYN DAVIDSON
Day Training/Habilitation Specialist
6051 N FRESNO ST STE 201
FRESNO, CA 93710
Fresno County (559) 248-8550
PACIFIC CLINICS
Community/Behavioral Health
6051 N FRESNO ST STE 201
FRESNO, CA 93710
Fresno County (559) 248-8550
AIMEE CASILLAS RICO
Peer Specialist
6051 N FRESNO ST STE 201
FRESNO, CA 93710
Fresno County (559) 881-7608
WILLIAM ALEXANDER REYES JR.
Community Health Worker
6051 N FRESNO ST STE 201
FRESNO, CA 93710
Fresno County (559) 248-8550
LUSIN GEZALYAN
Case Manager/Care Coordinator
6051 N FRESNO ST STE 201
FRESNO, CA 93710
Fresno County (559) 500-9173

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 Jordan Zickafoose's NPI number?

The NPI number for Jordan Zickafoose is 1457773236. It was assigned to this individual provider in the NPPES registry on January 13, 2014.

Where is Jordan Zickafoose located?

Jordan Zickafoose practices at 6051 N Fresno St Ste 201, Fresno, CA 93710. The listed phone number is (559) 248-8550.

What is Jordan Zickafoose's specialty?

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

Is Jordan Zickafoose enrolled in Medicare?

Yes. Jordan Zickafoose is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jordan Zickafoose's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Zickafoose reassigns Medicare benefits to Pacific Clinics (Fresno, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jordan Zickafoose's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jordan Zickafoose was last updated on December 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.