MINKYO JEON LMFT
NPI 1700513876
Marriage & Family Therapist in Los Angeles, CA

Active since August 08, 2022PECOS EnrolledAccepts Medicare Assignment
1968 W ADAMS BLVD # 101, LOS ANGELES, CA 90018(323) 731-3534(323) 731-5618 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 23, 2025, May 13, 2025, Jun 19, 2023 and 1 more (4 updates tracked since 2022).

About Minkyo Jeon Lmft NPPES

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

MINKYO JEON LMFT (NPI 1700513876) is an individual marriage & family therapist in Los Angeles, California, licensed in California (155020) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1700513876
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMINKYO JEONCredential: LMFT
Location Address1968 W ADAMS BLVD # 101Los Angeles, CA 90018-3515
Mailing Address1968 W Adams Blvd # 101Los Angeles, CA 90018-3515 · (323) 731-3534 · Fax (323) 731-5618
Fax(323) 731-5618
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 8, 2022
Last NPPES UpdateSeptember 30, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2025
NPI 1700513876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · 155020
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.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 20596 (CA)
1968 W ADAMS BLVD # 101, Los Angeles, CA 90018

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

Minkyo Jeon 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 ID6406352590
PECOS Enrollment IDI20250929001351
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 11

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

Rehabilitation Practitioner
1968 W ADAMS BLVD # 101
LOS ANGELES, CA 90018
Case Manager/Care Coordinator
1968 W ADAMS BLVD # 101
LOS ANGELES, CA 90018
Social Worker (Clinical)
1968 W ADAMS BLVD # 101
LOS ANGELES, CA 90018
Social Worker (Clinical)
1968 W ADAMS BLVD # 101
LOS ANGELES, CA 90018
Rehabilitation Practitioner
1968 W ADAMS BLVD # 101
LOS ANGELES, CA 90018
Marriage & Family Therapist
1968 W ADAMS BLVD # 101
LOS ANGELES, CA 90018
Student in an Organized Health Care Education/Training Program
1968 W ADAMS BLVD # 101
LOS ANGELES, CA 90018
Social Worker (Clinical)
1968 W ADAMS BLVD # 101
LOS ANGELES, CA 90018

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 Minkyo Jeon's NPI number?

The NPI number for Minkyo Jeon is 1700513876. It was assigned to this individual provider in the NPPES registry on August 8, 2022.

Where is Minkyo Jeon located?

Minkyo Jeon practices at 1968 W Adams Blvd # 101, Los Angeles, CA 90018. The listed phone number is (323) 731-3534.

What is Minkyo Jeon's specialty?

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

Is Minkyo Jeon enrolled in Medicare?

Yes. Minkyo Jeon 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.

When was this NPI record last updated?

The NPPES record for Minkyo Jeon was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.