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JILL ANNE DAWSON SUMIYASU LMFT
NPI 1770286437
Marriage & Family Therapist in Pasadena, CA

Active since March 22, 2023PECOS Enrolled
117 E COLORADO BLVD STE 425, PASADENA, CA 91105(626) 720-4677 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jill Anne Dawson Sumiyasu Lmft NPPES

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

JILL ANNE DAWSON SUMIYASU LMFT (NPI 1770286437) is an individual marriage & family therapist in Pasadena, California, licensed in California (137796) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1770286437
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJILL ANNE DAWSON SUMIYASUCredential: LMFT
Location Address117 E COLORADO BLVD STE 425Pasadena, CA 91105-3729
Mailing Address118 W Bonita AveSierra Madre, CA 91024-2412 · (626) 524-9494
Phone(626) 720-4677
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 22, 2023
NPPES CertifiedMarch 22, 2023
✔ NPI 1770286437 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 · 137796
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.
117 E COLORADO BLVD STE 425, Pasadena, CA 91105
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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)

Jill Anne Dawson Sumiyasu Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395218192
PECOS Enrollment IDI20260623004667
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 Jill Sumiyasu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PC
304 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

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 4

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

A BETTER LIFE BY JILL
Marriage & Family Therapist
117 E COLORADO BLVD STE 425
PASADENA, CA 91105
Los Angeles County (626) 729-4677
DR. HELEN YEE HOAGLAND PH.D.
Psychologist (Clinical)
117 E COLORADO BLVD STE 425
PASADENA, CA 91105
Los Angeles County (626) 403-0820
DR. RYAN G WITHERSPOON PH.D.
Psychologist (Clinical)
117 E COLORADO BLVD STE 425
PASADENA, CA 91105
Los Angeles County (626) 559-0939
DAN GUTTERMAN PSYD
Psychologist
117 E COLORADO BLVD STE 425
PASADENA, CA 91105
Los Angeles County (323) 456-3870

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 Jill Sumiyasu's NPI number?

The NPI number for Jill Sumiyasu is 1770286437. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Where is Jill Sumiyasu located?

Jill Sumiyasu practices at 117 E Colorado Blvd Ste 425, Pasadena, CA 91105. The listed phone number is (626) 720-4677.

What is Jill Sumiyasu's specialty?

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

Is Jill Sumiyasu enrolled in Medicare?

Yes. Jill Sumiyasu is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jill Sumiyasu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jill Sumiyasu reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, 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 Jill Sumiyasu'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 Jill Sumiyasu was last updated on March 22, 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.