JESSICA PETERS
NPI 1457785917
Counselor - Mental Health in San Carlos, CA

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since September 02, 2013Opted out of Medicare · through Feb 7, 2027

610 ELM ST, SAN CARLOS, CA 94070(650) 591-9623 Get Directions Write a Review

NPPES record last updated: September 2, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jessica Peters NPPES

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

JESSICA PETERS (NPI 1457785917) is an individual mental health provider in San Carlos, California, licensed in California (74280) and active in the NPI registry since September 2013. She has opted out of Medicare through February 7, 2027.

NPPES Registry Identity

NPI1457785917

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameJESSICA PETERS

Location Address610 ELM STSan Carlos, CA 94070-8401

Mailing AddressPo Box 720161San Francisco, CA 94172-0161

Phone(650) 591-9623

Sole ProprietorNo

Enumeration DateSeptember 2, 2013

✔ NPI 1457785917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in CA · 74280

610 ELM ST, San Carlos, CA 94070

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Jessica Peters 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 February 7, 2025 through February 7, 2027.

Opt-Out Effective DateFebruary 7, 2025

Opt-Out In Effect ThroughFebruary 7, 2027Opt-out affidavits renew automatically every two years unless cancelled