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JACLYN LIEBER LMFT
NPI 1679225247
Marriage & Family Therapist in Culver City, CA

Active since January 24, 2022Opted out of Medicare · through Mar 8, 2028
3405 SHERBOURNE DR, CULVER CITY, CA 90232(310) 920-5829 Get Directions Write a Review

NPPES record last updated: January 24, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jaclyn Lieber Lmft NPPES

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

JACLYN LIEBER LMFT (NPI 1679225247) is an individual marriage & family therapist in Culver City, California, licensed in California (128167) and active in the NPI registry since January 2022. She has opted out of Medicare through March 8, 2028.

NPPES Registry Identity

NPI1679225247
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJACLYN LIEBERCredential: LMFT
Location Address3405 SHERBOURNE DRCulver City, CA 90232-7439
Mailing Address3405 Sherbourne DrCulver City, CA 90232-7439 · (310) 920-5829
Phone(310) 920-5829
Sole ProprietorYes
Enumeration DateJanuary 24, 2022
NPPES CertifiedJanuary 24, 2022
✔ NPI 1679225247 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 · 128167
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.
3405 SHERBOURNE DR, Culver City, CA 90232
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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

Jaclyn Lieber 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 8, 2024 through March 8, 2028.

Opt-Out Effective DateMarch 8, 2024
Opt-Out In Effect ThroughMarch 8, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Jaclyn Lieber's NPI number?

The NPI number for Jaclyn Lieber is 1679225247. It was assigned to this individual provider in the NPPES registry on January 24, 2022.

Where is Jaclyn Lieber located?

Jaclyn Lieber practices at 3405 Sherbourne Dr, Culver City, CA 90232. The listed phone number is (310) 920-5829.

What is Jaclyn Lieber's specialty?

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

Is Jaclyn Lieber enrolled in Medicare?

No. Jaclyn Lieber has opted out of Medicare through March 8, 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 Jaclyn Lieber was last updated on January 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.