JESSICA ELAINE HADLOCK
NPI 1699085639
Marriage & Family Therapist in Costa Mesa, CA

Q: What is Jessica Hadlock's NPI number?

The NPI number for Jessica Hadlock is 1699085639. It was assigned to this individual provider in the NPPES registry on October 8, 2010.

Q: What is Jessica Hadlock's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jessica Hadlock was last updated on May 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since October 08, 2010PECOS EnrolledAccepts Medicare Assignment

3115 RED HILL AVE, COSTA MESA, CA 92626(714) 850-8451 Get Directions Write a Review

NPPES record last updated: May 1, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jessica Elaine Hadlock NPPES

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

JESSICA ELAINE HADLOCK (NPI 1699085639) is an individual marriage & family therapist in Costa Mesa, California and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1699085639

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameJESSICA ELAINE HADLOCK

Location Address3115 RED HILL AVECosta Mesa, CA 92626-4517

Mailing Address3115 Red Hill AveCosta Mesa, CA 92626-4517 · (714) 850-8451

Phone(714) 850-8451

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateOctober 8, 2010

Last NPPES UpdateMay 1, 2017

✔ NPI 1699085639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

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.

3115 RED HILL AVE, Costa Mesa, CA 92626

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Elaine Hadlock 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 ID4082055504

PECOS Enrollment IDI20240515003191

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.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ROBERT C BROWN LVN, LPN

Counselor (Mental Health)