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JACLYN MICHELLE PASCH MFT
NPI 1508264128
Marriage & Family Therapist in Cupertino, CA

Active since December 12, 2014PECOS Enrolled
19000 HOMESTEAD RD, BLDG 1, CUPERTINO, CA 95014(408) 366-4200(408) 366-4201 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jaclyn Michelle Pasch Mft NPPES

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

JACLYN MICHELLE PASCH MFT (NPI 1508264128) is an individual marriage & family therapist in Cupertino, California, licensed in California (84011) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508264128
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJACLYN MICHELLE PASCHCredential: MFT
Location Address19000 HOMESTEAD RD, BLDG 1Cupertino, CA 95014-0712
Mailing Address19000 Homestead Rd, Bldg 1Cupertino, CA 95014-0712 · (408) 366-4200 · Fax (408) 366-4201
Phone(408) 366-4200
Fax(408) 366-4201
Sole ProprietorNo
Enumeration DateDecember 12, 2014
Last NPPES UpdateDecember 30, 2021
✔ NPI 1508264128 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 · 84011
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.
19000 HOMESTEAD RD, Cupertino, CA 95014
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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)

Jaclyn Michelle Pasch Mft 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.

Medicare Billing Reassignment

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

Telehealth Specialty Medical Group
106 mi
Emergency Medicine
3400 DOUGLAS BLVD STE 225
Roseville, CA 95661
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Telemedicine Group PC
  • 205 clinicians in this Medicare group
NPI 1326338237 (916) 740-3721

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.

ASHLEY RENEE RARICK
Marriage & Family Therapist
19000 HOMESTEAD RD
CUPERTINO, CA 95014
Santa Clara County (408) 366-4450
LEENA V. KHANZODE MD
Psychiatry & Neurology (Psychiatry)
19000 HOMESTEAD RD, BLDG 2 , SECOND FLOOR
CUPERTINO, CA 95014
Santa Clara County (408) 366-4400
DR. ROGER JOHNSON PHD
Psychologist (Clinical)
19000 HOMESTEAD RD
CUPERTINO, CA 95014
Santa Clara County (408) 366-4408
MARTINA NEKOKSA CORNELL NP
Registered Nurse (Addiction (Substance Use Disorder))
19000 HOMESTEAD RD
CUPERTINO, CA 95014
Santa Clara County (408) 366-4200
DR. JULIA BETH HADRICKY PSY.D.
Psychologist
19000 HOMESTEAD RD
CUPERTINO, CA 95014
Santa Clara County (813) 382-4844
JOANNA CURIEL
Speech-Language Pathologist
19000 HOMESTEAD RD
CUPERTINO, CA 95014
Santa Clara County (408) 726-9689
MIHEE REDMAN RD
Dietitian, Registered
19000 HOMESTEAD RD
CUPERTINO, CA 95014
Santa Clara County (408) 366-4364
NIDHI KAUL M.S.W
Social Worker (Clinical)
19000 HOMESTEAD RD
CUPERTINO, CA 95014
Santa Clara County (408) 366-4400

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 Jaclyn Pasch's NPI number?

The NPI number for Jaclyn Pasch is 1508264128. It was assigned to this individual provider in the NPPES registry on December 12, 2014.

Where is Jaclyn Pasch located?

Jaclyn Pasch practices at 19000 Homestead Rd Bldg 1, Cupertino, CA 95014. The listed phone number is (408) 366-4200.

What is Jaclyn Pasch's specialty?

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

Is Jaclyn Pasch enrolled in Medicare?

Yes. Jaclyn Pasch is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jaclyn Pasch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Pasch reassigns Medicare benefits to Telehealth Specialty Medical Group (Roseville, 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 Jaclyn Pasch'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 Jaclyn Pasch was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.