URSULA ANN JORGENSEN LMFT - NPI 1639650740 - Marriage & Family Therapist in Belmont, CA

Q: What is Ursula Jorgensen's NPI number?

The NPI number for Ursula Jorgensen is 1639650740. It was assigned to this individual provider in the NPPES registry on August 27, 2018.

Q: What is Ursula Jorgensen's specialty?

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

Q: Is Ursula Jorgensen enrolled in Medicare?

No. Ursula Jorgensen has opted out of Medicare through March 10, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Ursula Jorgensen was last updated on February 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.

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About Ursula Ann Jorgensen Lmft NPPES

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

URSULA ANN JORGENSEN LMFT (NPI 1639650740) is an individual marriage & family therapist in Belmont, California, licensed in California (110207) and active in the NPI registry since August 2018. She has opted out of Medicare through March 10, 2027.

NPPES Registry Identity

NPI1639650740

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameURSULA ANN JORGENSENCredential: LMFT

Location Address751 ALAMEDA DE LAS PULGASBelmont, CA 94002-1606

Mailing Address751 Alameda De Las PulgasBelmont, CA 94002-1606 · (650) 217-0913

Phone(650) 217-0913

Sole ProprietorNo

Enumeration DateAugust 27, 2018

Last NPPES UpdateFebruary 27, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 27, 2025

✔ NPI 1639650740 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 · 110207

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.

751 ALAMEDA DE LAS PULGAS, Belmont, CA 94002

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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

Ursula Ann Jorgensen Lmft 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 March 10, 2025 through March 10, 2027.

Opt-Out Effective DateMarch 10, 2025

Opt-Out In Effect ThroughMarch 10, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 11

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

MICHELLE CIRIGLIANO

Occupational Therapist (Pediatrics)