LISA JELLISON MA
NPI 1700935657
Marriage & Family Therapist in Redding, CA

Q: What is Lisa Jellison's NPI number?

The NPI number for Lisa Jellison is 1700935657. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Q: What is Lisa Jellison's specialty?

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

Q: Is Lisa Jellison enrolled in Medicare?

No. Lisa Jellison has opted out of Medicare through January 1, 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 Lisa Jellison was last updated on March 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 January 09, 2007Opted out of Medicare · through Jan 1, 2028

3191 CHURN CREEK RD, REDDING, CA 96002(530) 224-7160 Get Directions Write a Review

NPPES record last updated: March 9, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lisa Jellison Ma NPPES

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

LISA JELLISON MA (NPI 1700935657) is an individual marriage & family therapist in Redding, California, licensed in California (MFC 46430) and active in the NPI registry since January 2007. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1700935657

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameLISA JELLISONCredential: MA

Location Address3191 CHURN CREEK RDRedding, CA 96002-2123

Mailing AddressPo Box 991464Redding, CA 96099-1464 · (530) 605-3664

Phone(530) 224-7160

Sole ProprietorNo

Enumeration DateJanuary 9, 2007

Last NPPES UpdateMarch 9, 2010

✔ NPI 1700935657 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 · MFC 46430

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.

3191 CHURN CREEK RD, Redding, CA 96002

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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

Lisa Jellison 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 January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

JEFFREY ALBERT CURTIS

Counselor (Mental Health)