JACQUELINE CLAIRE GOOD MFT
NPI 1669519310
Marriage & Family Therapist in Santa Rosa, CA

Q: What is Jacqueline Good's NPI number?

The NPI number for Jacqueline Good is 1669519310. It was assigned to this individual provider in the NPPES registry on January 31, 2007. The provider is also known as Jackie Good Mft.

Q: What is Jacqueline Good's specialty?

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

Q: Is Jacqueline Good enrolled in Medicare?

No. Jacqueline Good has opted out of Medicare through January 10, 2028. 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 Jacqueline Good was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since January 31, 2007Opted out of Medicare · through Jan 10, 2028

825 COLLEGE AVE, SANTA ROSA, CA 95404(707) 478-3644 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jacqueline Claire Good Mft NPPES

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

JACQUELINE CLAIRE GOOD MFT (NPI 1669519310) is an individual marriage & family therapist in Santa Rosa, California, licensed in California (43442) and active in the NPI registry since January 2007. She has opted out of Medicare through January 10, 2028.

NPPES Registry Identity

NPI1669519310

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameJACQUELINE CLAIRE GOODCredential: MFT

Location Address825 COLLEGE AVESanta Rosa, CA 95404-4108

Mailing Address2045 Aberdeen AveSanta Rosa, CA 95404-9723 · (707) 585-1110

Phone(707) 478-3644

Sole ProprietorYes

Enumeration DateJanuary 31, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1669519310 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 · 43442

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.

825 COLLEGE AVE, Santa Rosa, CA 95404

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Other Names 1

Professional Name (2)Jackie Good Mft

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jacqueline Claire Good 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 10, 2024 through January 10, 2028.

Opt-Out Effective DateJanuary 10, 2024

Opt-Out In Effect ThroughJanuary 10, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 18

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

SARA JOSLYN PH.D.

Psychologist