MISS JACQUELINE ANN HAYES MFT
NPI 1669715918
Marriage & Family Therapist in Costa Mesa, CA
About Miss Jacqueline Ann Hayes Mft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS JACQUELINE ANN HAYES MFT (NPI 1669715918) is an individual marriage & family therapist in Costa Mesa, California, licensed in California (50113) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Miss Jacqueline Ann Hayes Mft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Jacqueline Hayes reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Diego, CA 92122
- Reassigned Medicare billing, California enrollment
- 64 clinicians in this Medicare group
San Diego, CA 92122
- Reassigned Medicare billing, California enrollment
- 245 clinicians in this Medicare group
San Jose, CA 95113
- Reassigned Medicare billing, California enrollment
- 45 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Jacqueline Hayes's NPI number?
The NPI number for Jacqueline Hayes is 1669715918. It was assigned to this individual provider in the NPPES registry on April 4, 2013.
Where is Jacqueline Hayes located?
Jacqueline Hayes practices at 2134 Continental Ave, Costa Mesa, CA 92627. The listed phone number is (949) 631-6129.
What is Jacqueline Hayes's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Jacqueline Hayes enrolled in Medicare?
Yes. Jacqueline Hayes is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jacqueline Hayes's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Hayes reassigns Medicare benefits to 3 organizations: Headlight Health Medical Group PLLC (San Diego, CA), Sokyahealth Medical Group PC (San Diego, CA) and Shine Medical Of Ca PC (San Jose, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacqueline Hayes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jacqueline Hayes was last updated on April 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Miss Jacqueline Ann Hayes, MFT · NPI 1669715918
Marriage & Family Therapist provider in Costa Mesa, California. Individual provider, active in the CMS NPPES registry since April 4, 2013.
## Identity
- **NPI:** 1669715918 (Entity type: Individual)
- **Enumerated:** April 4, 2013
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 50113 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2134 CONTINENTAL AVE, Costa Mesa, CA 92627-3312
- **Phone:** (949) 631-6129
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Headlight Health Medical Group PLLC (NPI 1649064486, San Diego, CA); Sokyahealth Medical Group PC (NPI 1942970330, San Diego, CA); Shine Medical Of Ca PC (NPI 1942935473, San Jose, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** April 4, 2013
---
Source: [NPI Profile](https://npiprofile.com/npi/1669715918) · Data from the CMS NPPES public registry.