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JUDY JACKSON MFT
NPI 1629205224
Marriage & Family Therapist in Los Gatos, CA

Active since June 22, 2009Opted out of Medicare · through Jan 1, 2028
110 N SANTA CRUZ AVE, SUITE C, LOS GATOS, CA 95030(408) 380-3038(408) 380-3038 Get Directions Write a Review

NPPES record last updated: June 22, 2009. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Judy Jackson Mft NPPES

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

JUDY JACKSON MFT (NPI 1629205224) is an individual marriage & family therapist in Los Gatos, California, licensed in California (42499) and active in the NPI registry since June 2009. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1629205224
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJUDY JACKSONCredential: MFT
Location Address110 N SANTA CRUZ AVE, SUITE CLos Gatos, CA 95030-5919
Mailing Address110 N Santa Cruz Ave, Suite CLos Gatos, CA 95030-5919 · (408) 380-3038 · Fax (408) 380-3038
Phone(408) 380-3038
Fax(408) 380-3038
Sole ProprietorYes
Enumeration DateJune 22, 2009
✔ NPI 1629205224 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 · 42499
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.
110 N SANTA CRUZ AVE, Los Gatos, CA 95030
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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

Judy Jackson Mft 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 January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARD BRIAN MAHAN PH.D.
Psychologist (Clinical)
110 N SANTA CRUZ AVE, SUITE B
LOS GATOS, CA 95030
Santa Clara County (408) 409-0039

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 Judy Jackson's NPI number?

The NPI number for Judy Jackson is 1629205224. It was assigned to this individual provider in the NPPES registry on June 22, 2009.

Where is Judy Jackson located?

Judy Jackson practices at 110 N Santa Cruz Ave Suite C, Los Gatos, CA 95030. The listed phone number is (408) 380-3038.

What is Judy Jackson's specialty?

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

Is Judy Jackson enrolled in Medicare?

No. Judy Jackson has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Judy Jackson was last updated on June 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.