JESSICA POTTER LMFT
NPI 1700952363
Marriage & Family Therapist in San Rafael, CA

Q: What is Jessica Potter's NPI number?

The NPI number for Jessica Potter is 1700952363. It was assigned to this individual provider in the NPPES registry on November 27, 2006.

Q: What is Jessica Potter's specialty?

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

Q: Is Jessica Potter enrolled in Medicare?

No. Jessica Potter has opted out of Medicare through June 20, 2027. 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 Jessica Potter was last updated on June 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 November 27, 2006Opted out of Medicare · through Jun 20, 2027

1363 LINCOLN AVE STE 6, SAN RAFAEL, CA 94901(415) 794-9065 Get Directions Write a Review

NPPES record last updated: June 18, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jessica Potter Lmft NPPES

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

JESSICA POTTER LMFT (NPI 1700952363) is an individual marriage & family therapist in San Rafael, California, licensed in California (MFT41630) and active in the NPI registry since November 2006. She has opted out of Medicare through June 20, 2027.

NPPES Registry Identity

NPI1700952363

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameJESSICA POTTERCredential: LMFT

Location Address1363 LINCOLN AVE STE 6San Rafael, CA 94901

Mailing Address1363 Lincoln Ave Ste 6San Rafael, CA 94901-2124 · (415) 794-9065

Phone(415) 794-9065

Sole ProprietorYes

Enumeration DateNovember 27, 2006

Last NPPES UpdateJune 18, 2018

✔ NPI 1700952363 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 · MFT41630

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.

1363 LINCOLN AVE STE 6, San Rafael, CA 94901

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jessica Potter Lmft 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 June 20, 2025 through June 20, 2027.

Opt-Out Effective DateJune 20, 2025

Opt-Out In Effect ThroughJune 20, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Jessica Potter's NPI number?

The NPI number for Jessica Potter is 1700952363. It was assigned to this individual provider in the NPPES registry on November 27, 2006.

Where is Jessica Potter located?

Jessica Potter practices at 1363 Lincoln Ave Ste 6, San Rafael, CA 94901. The listed phone number is (415) 794-9065.

What is Jessica Potter's specialty?

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

Is Jessica Potter enrolled in Medicare?

No. Jessica Potter has opted out of Medicare through June 20, 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 Jessica Potter was last updated on June 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.