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OCTAVIA J. NEAL
NPI 1508290412
Marriage & Family Therapist in San Jose, CA

Active since August 27, 2013PECOS Enrolled
232 E GISH RD, SAN JOSE, CA 95112(408) 453-7616 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 11, 2022, Feb 26, 2018, Aug 9, 2016 (3 updates tracked since 2016).

About Octavia J. Neal NPPES

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

OCTAVIA J. NEAL (NPI 1508290412) is an individual marriage & family therapist in San Jose, California, licensed in California (IMF101215) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508290412
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameOCTAVIA J. NEAL
Location Address232 E GISH RDSan Jose, CA 95112-4706
Mailing Address232 E Gish RdSan Jose, CA 95112-4706
Phone(408) 453-7616
Sole ProprietorNo
Enumeration DateAugust 27, 2013
Last NPPES UpdateJanuary 11, 20223 updates tracked since enumeration
✔ NPI 1508290412 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 · IMF101215
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.
232 E GISH RD, San Jose, CA 95112
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Other Names 1

Other Name (5)Octavia J. Clayton

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Octavia J. Neal 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 Octavia Neal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
5.4 mi
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1073606299 (408) 851-1000

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.

MR. CARLOS VILLARREAL III
Case Management
232 E GISH RD
SAN JOSE, CA 95112
Santa Clara County (408) 876-4106
ALEJANDRA GUTIERREZ
Case Manager/Care Coordinator
232 E GISH RD
SAN JOSE, CA 95112
Santa Clara County (408) 876-4256
GARRETT MACEDO
Marriage & Family Therapist
232 E GISH RD
SAN JOSE, CA 95112
Santa Clara County (805) 844-8246
ALICIA MARIE MILLET
Case Manager/Care Coordinator
232 E GISH RD
SAN JOSE, CA 95112
Santa Clara County (408) 379-3790
NICOLE ESPINOZA
Social Worker
232 E GISH RD
SAN JOSE, CA 95112
Santa Clara County (408) 876-4284
DAMALI MAIA TILLMAN BA
Counselor
232 E GISH RD
SAN JOSE, CA 95112
Santa Clara County (408) 849-9550
KRISTA LAMBERT LMFT
Marriage & Family Therapist
232 E GISH RD
SAN JOSE, CA 95112
Santa Clara County (408) 876-4284
ANGELA PHAM
Marriage & Family Therapist
232 E GISH RD
SAN JOSE, CA 95112
Santa Clara County (408) 876-4284

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 Octavia Neal's NPI number?

The NPI number for Octavia Neal is 1508290412. It was assigned to this individual provider in the NPPES registry on August 27, 2013. The provider is also known as Octavia J. Clayton.

Where is Octavia Neal located?

Octavia Neal practices at 232 E Gish Rd, San Jose, CA 95112. The listed phone number is (408) 453-7616.

What is Octavia Neal's specialty?

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

Is Octavia Neal enrolled in Medicare?

Yes. Octavia Neal is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Octavia Neal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Octavia Neal reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, 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 Octavia Neal'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 Octavia Neal was last updated on January 11, 2022. 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.