TASHA JACKSON FITZGERALD
NPI 1699484550
Marriage & Family Therapist in San Francisco, CA

Active since November 21, 2022Opted out of Medicare · through Oct 23, 2027
870 MARKET ST STE 341, SAN FRANCISCO, CA 94102(415) 505-2628 Get Directions Write a Review

NPPES record last updated: November 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tasha Jackson Fitzgerald NPPES

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

TASHA JACKSON FITZGERALD (NPI 1699484550) is an individual marriage & family therapist in San Francisco, California, licensed in California (45578) and active in the NPI registry since November 2022. She has opted out of Medicare through October 23, 2027.

NPPES Registry Identity

NPI1699484550
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameTASHA JACKSON FITZGERALD
Location Address870 MARKET ST STE 341San Francisco, CA 94102-3022
Mailing Address336 Bon Air Ctr # 271Greenbrae, CA 94904-3017 · (415) 505-2628
Sole ProprietorYes
Enumeration DateNovember 21, 2022
NPPES CertifiedNovember 18, 2022
NPI 1699484550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses Licensed in CA · 45578 Licensed in WY · LMFT-273
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.

870 MARKET ST STE 341, San Francisco, CA 94102

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Tasha Jackson Fitzgerald 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 October 23, 2025 through October 23, 2027.

Opt-Out Effective DateOctober 23, 2025
Opt-Out In Effect ThroughOctober 23, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

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

Psychologist (Clinical)
870 MARKET ST STE 341
SAN FRANCISCO, CA 94102
Psychiatry & Neurology (Psychiatry)
870 MARKET ST STE 341
SAN FRANCISCO, CA 94102
Psychologist (Clinical)
870 MARKET ST STE 341
SAN FRANCISCO, CA 94102
Psychologist (Clinical)
870 MARKET ST STE 341
SAN FRANCISCO, CA 94102
Psychiatry & Neurology (Psychiatry)
870 MARKET ST STE 341
SAN FRANCISCO, CA 94102
Psychologist (Clinical)
870 MARKET ST STE 341
SAN FRANCISCO, CA 94102
Psychiatry & Neurology (Behavioral Neurology & Neuropsychiatry)
870 MARKET ST STE 341
SAN FRANCISCO, CA 94102

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 Tasha Jackson Fitzgerald's NPI number?

The NPI number for Tasha Jackson Fitzgerald is 1699484550. It was assigned to this individual provider in the NPPES registry on November 21, 2022.

Where is Tasha Jackson Fitzgerald located?

Tasha Jackson Fitzgerald practices at 870 Market St Ste 341, San Francisco, CA 94102. The listed phone number is (415) 505-2628.

What is Tasha Jackson Fitzgerald's specialty?

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

Is Tasha Jackson Fitzgerald enrolled in Medicare?

No. Tasha Jackson Fitzgerald has opted out of Medicare through October 23, 2027. 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 Tasha Jackson Fitzgerald was last updated on November 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.