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JYOTI MALLIKA GUSTAFSON LMFT
NPI 1700184124
Marriage & Family Therapist in Santa Ana, CA

Active since March 09, 2011PECOS Enrolled
615 W CIVIC CENTER DR STE 200, SANTA ANA, CA 92701(714) 795-3444(714) 795-3445 Get Directions Write a Review

NPPES record last updated: April 11, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 11, 2023, Feb 24, 2021 (2 updates tracked since 2021).

About Jyoti Mallika Gustafson Lmft NPPES

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

JYOTI MALLIKA GUSTAFSON LMFT (NPI 1700184124) is an individual marriage & family therapist in Santa Ana, California, licensed in California (122101) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700184124
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJYOTI MALLIKA GUSTAFSONCredential: LMFT
Location Address615 W CIVIC CENTER DR STE 200Santa Ana, CA 92701-4052
Mailing Address615 W Civic Center Dr Ste 200Santa Ana, CA 92701-4052 · (714) 795-3444 · Fax (714) 795-3445
Phone(714) 795-3444
Fax(714) 795-3445
Sole ProprietorNo
Enumeration DateMarch 9, 2011
Last NPPES UpdateApril 11, 20232 updates tracked since enumeration
NPPES CertifiedApril 11, 2023
✔ NPI 1700184124 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 · 122101
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.
615 W CIVIC CENTER DR STE 200, Santa Ana, CA 92701
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jyoti Mallika Gustafson Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Jyoti Gustafson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Telecare Corporation
0.7 mi
Mental Health (Including Community Mental Health Center)
615 W CIVIC CENTER DR, SUITE 200
Santa Ana, CA 92701
  • Reassigned Medicare billing, California enrollment
  • 247 clinicians in this Medicare group
NPI 1245627199 (714) 795-3444

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

PAMELA MARIE HAMMON
Counselor (Mental Health)
615 W CIVIC CENTER DR STE 200
SANTA ANA, CA 92701
Orange County (714) 795-3444
DANFIELD MORTLEY
Counselor (Mental Health)
615 W CIVIC CENTER DR STE 200
SANTA ANA, CA 92701
Orange County (714) 795-3444
JENNIFER LYNN KIPPE
Counselor (Mental Health)
615 W CIVIC CENTER DR STE 200
SANTA ANA, CA 92701
Orange County (714) 795-3444
LEI PORTUGAL CALLOWAY
Peer Specialist
615 W CIVIC CENTER DR STE 200
SANTA ANA, CA 92701
Orange County (714) 795-3444
MARIA SERNA
Case Manager/Care Coordinator
615 W CIVIC CENTER DR STE 200
SANTA ANA, CA 92701
Orange County (714) 795-3444
BEATRIZ CAMARGO PENTEADO SALES
Counselor (Mental Health)
615 W CIVIC CENTER DR STE 200
SANTA ANA, CA 92701
Orange County (714) 795-3444
JESSICA AMBER DIRKS LCSW
Social Worker (Clinical)
615 W CIVIC CENTER DR STE 200
SANTA ANA, CA 92701
Orange County (714) 795-3444
YUNI LEE
Counselor (Mental Health)
615 W CIVIC CENTER DR STE 200
SANTA ANA, CA 92701
Orange County (714) 795-3444

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 Jyoti Gustafson's NPI number?

The NPI number for Jyoti Gustafson is 1700184124. It was assigned to this individual provider in the NPPES registry on March 9, 2011.

Where is Jyoti Gustafson located?

Jyoti Gustafson practices at 615 W Civic Center Dr Ste 200, Santa Ana, CA 92701. The listed phone number is (714) 795-3444.

What is Jyoti Gustafson's specialty?

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

Is Jyoti Gustafson enrolled in Medicare?

Yes. Jyoti Gustafson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jyoti Gustafson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jyoti Gustafson reassigns Medicare benefits to Telecare Corporation (Santa Ana, CA). The 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 Jyoti Gustafson'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 Jyoti Gustafson was last updated on April 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.