JILLIAN CARDOSO MA
NPI 1700540119
Marriage & Family Therapist in Elk Grove, CA

Q: What is Jillian Cardoso's NPI number?

The NPI number for Jillian Cardoso is 1700540119. It was assigned to this individual provider in the NPPES registry on October 22, 2021.

Q: What is Jillian Cardoso's specialty?

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

Q: Is Jillian Cardoso enrolled in Medicare?

No. Jillian Cardoso has opted out of Medicare through April 18, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Jillian Cardoso was last updated on October 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 22, 2021Opted out of Medicare · through Apr 18, 2028

8788 ELK GROVE BLVD STE D, ELK GROVE, CA 95624(916) 400-0505 Get Directions Write a Review

NPPES record last updated: October 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jillian Cardoso Ma NPPES

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

JILLIAN CARDOSO MA (NPI 1700540119) is an individual marriage & family therapist in Elk Grove, California and active in the NPI registry since October 2021. She has opted out of Medicare through April 18, 2028.

NPPES Registry Identity

NPI1700540119

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameJILLIAN CARDOSOCredential: MA

Location Address8788 ELK GROVE BLVD STE DElk Grove, CA 95624-1767

Mailing Address240 Heirloom AveLodi, CA 95242-9730

Phone(916) 400-0505

Sole ProprietorNo

Enumeration DateOctober 22, 2021

NPPES CertifiedOctober 22, 2021

✔ NPI 1700540119 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.

8788 ELK GROVE BLVD STE D, Elk Grove, CA 95624

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Jillian Cardoso Ma 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 April 18, 2024 through April 18, 2028.

Opt-Out Effective DateApril 18, 2024

Opt-Out In Effect ThroughApril 18, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 6

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

MICHELLE MOHAMMADIAN

Marriage & Family Therapist