JEANNINE MARDI DALEO MFT
NPI 1780625160
Marriage & Family Therapist in La Mesa, CA

Active since June 09, 2006PECOS Enrolled
4700 SPRING ST, STE 220, LA MESA, CA 91942(619) 667-3380(619) 667-0815 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jeannine Mardi Daleo Mft NPPES

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

JEANNINE MARDI DALEO MFT (NPI 1780625160) is an individual marriage & family therapist in La Mesa, California, licensed in California (MFC38634) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780625160
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJEANNINE MARDI DALEOCredential: MFT
Location Address4700 SPRING ST, STE 220La Mesa, CA 91942-0263
Mailing Address3554 Round Barn BlvdSanta Rosa, CA 95403-0929 · (619) 528-4600 · Fax (619) 528-4625
Fax(619) 667-0815
Sole ProprietorNo
Enumeration DateJune 9, 2006
Last NPPES UpdateJanuary 11, 2022
✔ NPI 1780625160 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 · MFC38634
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.
4700 SPRING ST, La Mesa, CA 91942

Other Names 1

Other Name (5)Jeannine Mardi O'brien

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeannine Mardi Daleo Mft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Jeannine Daleo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group

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 20

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

Psychologist (Clinical)
4700 SPRING ST, #220
LA MESA, CA 91942
Social Worker (Clinical)
4700 SPRING ST
LA MESA, CA 91942
Behavior Technician
4700 SPRING ST
LA MESA, CA 91942
Nurse Practitioner (Psychiatric/Mental Health)
4700 SPRING ST, STE. 220
LA MESA, CA 91942
Community/Behavioral Health
4700 SPRING ST, STE 203
LA MESA, CA 91942
Behavior Technician
4700 SPRING ST
LA MESA, CA 91942
Behavior Technician
4700 SPRING ST
LA MESA, CA 91942
Marriage & Family Therapist
4700 SPRING ST, SUITE 220
LA MESA, CA 91942

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 Jeannine Daleo's NPI number?

The NPI number for Jeannine Daleo is 1780625160. It was assigned to this individual provider in the NPPES registry on June 9, 2006. The provider is also known as Jeannine Mardi O'brien.

Where is Jeannine Daleo located?

Jeannine Daleo practices at 4700 Spring St Ste 220, La Mesa, CA 91942. The listed phone number is (619) 667-3380.

What is Jeannine Daleo's specialty?

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

Is Jeannine Daleo enrolled in Medicare?

Yes. Jeannine Daleo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jeannine Daleo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeannine Daleo reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, 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 Jeannine Daleo'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 Jeannine Daleo was last updated on January 11, 2022. 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.