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AUTUMN JEFFERSON
NPI 1659409654
Psychologist - Clinical in Los Angeles, CA

Active since March 01, 2007PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
4211 AVALON BLVD, LOS ANGELES, CA 90011(323) 432-5185 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Autumn Jefferson NPPES

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

AUTUMN JEFFERSON (NPI 1659409654) is an individual clinical provider in Los Angeles, California, licensed in California (PSY33479) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1659409654
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameAUTUMN JEFFERSON
Location Address4211 AVALON BLVDLos Angeles, CA 90011-5622
Mailing Address5943 Ocean Terrace DrRancho Palos Verdes, CA 90275-5756 · (310) 418-9117
Phone(323) 432-5185
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 1, 2007
Last NPPES UpdateOctober 16, 2024
NPPES CertifiedOctober 16, 2024
✔ NPI 1659409654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY33479
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
4211 AVALON BLVD, Los Angeles, CA 90011
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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

Autumn Jefferson 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 ID3173990728
PECOS Enrollment IDI20221110001727
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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Evaluation of psychological test, each additional hour 96131
This service involves additional hours spent on assessing psychological tests. It helps to understand your mental health better, identifying any potential issues or disorders. It's a crucial step in creating an effective treatment plan.
914 services409 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
817 services796 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
733 services316 patients
Evaluation of psychological test, first hour 96130
This procedure involves a professional assessing your mental health using standardized tests. It's the initial hour of a process that helps understand your emotional well-being and cognitive abilities. It's completely non-invasive and confidential.
459 services408 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
154 services60 patients
Psychotherapy for crisis, first hour 90839
Psychotherapy for crisis is a supportive service provided during times of intense distress. In the first hour, the therapist will help you express your feelings, understand the crisis better, and work on immediate coping strategies. This is aimed at reducing stress and promoting emotional well-being.
30 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90011 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

ANGEL MARTIN
Registered Nurse
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 432-5185
MICHELLE OUATTARA
Occupational Therapist (Mental Health)
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 432-5080
ALEXANDER JERROD BLACK ACSW
Social Worker (Clinical)
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 233-0425
BRIANNA FONSECA
Social Worker
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 233-0425
JESSE VELAZQUEZ
Social Worker
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 233-0425
DR. KIERSTEN TAYLOR PHARMD
Pharmacist (Psychiatric)
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 233-0425
NNEKA PATRICIA NJOKU
Nurse Practitioner (Psychiatric/Mental Health)
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 233-0425
DR. YVORN ASWAD MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 582-2251

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 Autumn Jefferson's NPI number?

The NPI number for Autumn Jefferson is 1659409654. It was assigned to this individual provider in the NPPES registry on March 1, 2007.

Where is Autumn Jefferson located?

Autumn Jefferson practices at 4211 Avalon Blvd, Los Angeles, CA 90011. The listed phone number is (323) 432-5185.

What is Autumn Jefferson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Autumn Jefferson enrolled in Medicare?

Yes. Autumn Jefferson 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.

What insurance does Autumn Jefferson accept?

Health plans from Providence Health Plan list Autumn Jefferson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Autumn Jefferson was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.