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

Q: 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.

Q: What is John Jack Cousineau's specialty?

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

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: August 16, 2026.

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

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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 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

Phone(510) 809-7350

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

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Other Names 1

Former Name (1)Jack Shields Cousineau

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.

BERTHA ALICIA DIAZ MFT

Marriage & Family Therapist