JED MICHAEL DIAZ COLCOL MA, LMFT
NPI 1689221566
Marriage & Family Therapist in San Diego, CA

Q: What is Jed Michael Colcol's NPI number?

The NPI number for Jed Michael Colcol is 1689221566. It was assigned to this individual provider in the NPPES registry on August 24, 2019.

Q: What is Jed Michael Colcol's specialty?

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

Active since August 24, 2019PECOS Enrolled

3420 KENYON ST BLDG B2, SAN DIEGO, CA 92110(833) 579-4848 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 27, 2026, Sep 7, 2025, May 7, 2024 and 1 more (4 updates tracked since 2019).

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About Jed Michael Diaz Colcol Ma, Lmft NPPES

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

JED MICHAEL DIAZ COLCOL MA, LMFT (NPI 1689221566) is an individual marriage & family therapist in San Diego, California, licensed in California (157639) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in La Mesa, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1689221566

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameJED MICHAEL DIAZ COLCOLCredential: MA, LMFT

Location Address3420 KENYON ST BLDG B2San Diego, CA 92110-5001

Mailing Address3420 Kenyon StSan Diego, CA 92110-5001

Phone(833) 579-4848

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateAugust 24, 2019

Last NPPES UpdateMay 27, 20264 updates tracked since enumeration

NPPES CertifiedMay 27, 2026

✔ NPI 1689221566 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 · 157639

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.

3420 KENYON ST BLDG B2, San Diego, CA 92110

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Secondary Practice Location 1

Location 18881 Fletcher Pkwy Ste 350LA Mesa, CA 91942-6103 · Phone (858) 279-1223

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jed Michael Diaz Colcol Ma, Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890266035

PECOS Enrollment IDI20260609000154

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.

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 Jed Michael Colcol's NPI number?

The NPI number for Jed Michael Colcol is 1689221566. It was assigned to this individual provider in the NPPES registry on August 24, 2019.

Where is Jed Michael Colcol located?

Jed Michael Colcol practices at 3420 Kenyon St Bldg B2, San Diego, CA 92110. The listed phone number is (833) 579-4848.

What is Jed Michael Colcol's specialty?

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

Is Jed Michael Colcol enrolled in Medicare?

Yes. Jed Michael Colcol is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jed Michael Colcol was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.