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

Active since August 24, 2019PECOS EnrolledAccepts Medicare Assignment
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: November 01, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jed Michael Diaz Colcol Ma, Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jed Michael Colcol reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern California Permanente Medical Group
3.9 mi
Health Maintenance Organization
1288 CAMINO DEL RIO N
San Diego, CA 92108
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1023425972 (877) 608-0044
Pacific Coast Psychiatric Associates Inc
311 mi
Clinical
7373 N SCOTTSDALE RD STE A199
Scottsdale, AZ 85253
  • Reassigned Medicare billing, California enrollment
  • 766 clinicians in this Medicare group
NPI 1023125465 (702) 805-5360

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 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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jed Michael Colcol's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jed Michael Colcol reassigns Medicare benefits to 2 organizations: Southern California Permanente Medical Group (San Diego, CA) and Pacific Coast Psychiatric Associates Inc (Scottsdale, AZ). 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 Jed Michael Colcol'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 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 5 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.