MR. JOHN JACK SHIELDS COUSINEAU LMFT
NPI 1548570583
Marriage & Family Therapist in Martinez, CA

Active since October 08, 2010PECOS EnrolledAccepts Medicare Assignment
1340 ARNOLD DR STE 200, MARTINEZ, CA 94553(510) 809-7350 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 5, 2025, Oct 15, 2018, Nov 15, 2017 and 1 more (4 updates tracked since 2015).

About Mr. John Jack Shields Cousineau Lmft NPPES

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

MR. JOHN JACK SHIELDS COUSINEAU LMFT (NPI 1548570583) is an individual marriage & family therapist in Martinez, California, licensed in California (LMFT90191) and active in the NPI registry since October 2010. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1548570583
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. JOHN JACK SHIELDS COUSINEAUCredential: LMFT
Location Address1340 ARNOLD DR STE 200Martinez, CA 94553-4189
Mailing AddressPo Box 2378Berkeley, CA 94702-0378 · (626) 710-7915 · Fax (877) 734-6906
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateOctober 8, 2010
Last NPPES UpdateFebruary 5, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2025
NPI 1548570583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses Licensed in CA · LMFT90191 Licensed in CA · 90191
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.

1340 ARNOLD DR STE 200, Martinez, CA 94553

Other Names 1

Former Name (1)Jack Shields Cousineau

Secondary Practice Locations 2

Location 1595 Center Ave Ste 100Martinez, CA 94553-4629 · Phone (510) 809-7350 · Fax (877) 734-6906
Location 21425 Oregon St Apt K4Berkeley, CA 94702-2547 · Phone (510) 809-7350

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. John Jack Shields Cousineau Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294188512
PECOS Enrollment IDI20240201004424
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.

Registered Nurse (Psychiatric/Mental Health)
1340 ARNOLD DR STE 200
MARTINEZ, CA 94553
Marriage & Family Therapist
1340 ARNOLD DR STE 200
MARTINEZ, CA 94553
Registered Nurse
1340 ARNOLD DR STE 200
MARTINEZ, CA 94553
Counselor (Mental Health)
1340 ARNOLD DR STE 200
MARTINEZ, CA 94553
Counselor (Mental Health)
1340 ARNOLD DR STE 200
MARTINEZ, CA 94553
Registered Nurse
1340 ARNOLD DR STE 200
MARTINEZ, CA 94553
Community Health Worker
1340 ARNOLD DR STE 200
MARTINEZ, CA 94553
Registered Nurse
1340 ARNOLD DR STE 200
MARTINEZ, CA 94553

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 John Jack Cousineau's NPI number?

The NPI number for John Jack Cousineau is 1548570583. It was assigned to this individual provider in the NPPES registry on October 8, 2010. The provider is also known as Jack Shields Cousineau.

Where is John Jack Cousineau located?

John Jack Cousineau practices at 1340 Arnold Dr Ste 200, Martinez, CA 94553. The listed phone number is (510) 809-7350.

What is John Jack Cousineau's specialty?

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

Is John Jack Cousineau enrolled in Medicare?

Yes. John Jack Cousineau is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for John Jack Cousineau was last updated on February 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.