JACLYN RICHARDSON MA, LMFT
NPI 1790956407
Marriage & Family Therapist in Stockton, CA

Q: What is Jaclyn Richardson's NPI number?

The NPI number for Jaclyn Richardson is 1790956407. It was assigned to this individual provider in the NPPES registry on March 20, 2008. The provider is also known as Jaclyn Carneiro.

Q: What is Jaclyn Richardson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jaclyn Richardson 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.

Active since March 20, 2008PECOS Enrolled

1212 N CALIFORNIA ST, STOCKTON, CA 95202(209) 468-9373 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jaclyn Richardson Ma, Lmft NPPES

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

JACLYN RICHARDSON MA, LMFT (NPI 1790956407) is an individual marriage & family therapist in Stockton, California, licensed in California (93430) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790956407

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameJACLYN RICHARDSONCredential: MA, LMFT

Location Address1212 N CALIFORNIA STStockton, CA 95202-1552

Mailing Address1212 N California StStockton, CA 95202-1552 · (209) 468-9373

Phone(209) 468-9373

Sole ProprietorNo

Enumeration DateMarch 20, 2008

Last NPPES UpdateJanuary 11, 2022

✔ NPI 1790956407 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 · 93430

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.

1212 N CALIFORNIA ST, Stockton, CA 95202

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Other Names 1

Other Name (5)Jaclyn Carneiro

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaclyn Richardson Ma, Lmft 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.

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.

SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES

Clinic/Center (Mental Health (Including Community Mental Health Center))