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AMANDA JAGIELSKI
NPI 1679118194
Marriage & Family Therapist in Pasadena, CA

Active since November 07, 2019Opted out of Medicare · through May 20, 2028
482 N. ROSEMEAD BLVD., SUITE 207, PASADENA, CA 91107(626) 460-0093 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 28, 2024, Aug 25, 2021, Nov 7, 2019 (3 updates tracked since 2019).

About Amanda Jagielski NPPES

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

AMANDA JAGIELSKI (NPI 1679118194) is an individual marriage & family therapist in Pasadena, California, licensed in California (115418) and active in the NPI registry since November 2019. She has opted out of Medicare through May 20, 2028.

NPPES Registry Identity

NPI1679118194
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameAMANDA JAGIELSKI
Location Address482 N. ROSEMEAD BLVD., SUITE 207Pasadena, CA 91107
Mailing Address482 N. Rosemead Blvd., Suite 207Pasadena, CA 91107 · (626) 460-0093
Phone(626) 460-0093
Sole ProprietorYes
Enumeration DateNovember 7, 2019
Last NPPES UpdateJune 28, 20243 updates tracked since enumeration
NPPES CertifiedAugust 25, 2021
✔ NPI 1679118194 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 · 115418
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.
482 N. ROSEMEAD BLVD., Pasadena, CA 91107
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Amanda Jagielski 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 May 20, 2026 through May 20, 2028.

Opt-Out Effective DateMay 20, 2026
Opt-Out In Effect ThroughMay 20, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Amanda Jagielski's NPI number?

The NPI number for Amanda Jagielski is 1679118194. It was assigned to this individual provider in the NPPES registry on November 7, 2019.

Where is Amanda Jagielski located?

Amanda Jagielski practices at 482 N. Rosemead Blvd. Suite 207, Pasadena, CA 91107. The listed phone number is (626) 460-0093.

What is Amanda Jagielski's specialty?

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

Is Amanda Jagielski enrolled in Medicare?

No. Amanda Jagielski has opted out of Medicare through May 20, 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 Amanda Jagielski was last updated on June 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.