JONATHAN NEAL WILLETT MA
NPI 1801102033
Marriage & Family Therapist in Oakland, CA

Q: What is the provider's specialty?

The provider's specialty is Marriage & Family Therapist with taxonomy code 106H00000X.

Active since August 25, 2010Opted out of Medicare · through Apr 18, 2027

629 OAKLAND AVE, OAKLAND, CA 94611(510) 393-9882(510) 597-7638 Get Directions Write a Review

NPPES record last updated: December 15, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jonathan Neal Willett Ma NPPES

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

JONATHAN NEAL WILLETT MA (NPI 1801102033) is an individual marriage & family therapist in Oakland, California, licensed in California (84129) and active in the NPI registry since August 2010. He has opted out of Medicare through April 18, 2027.

NPPES Registry Identity

NPI1801102033

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameJONATHAN NEAL WILLETTCredential: MA

Location Address629 OAKLAND AVEOakland, CA 94611-4567

Mailing Address629 Oakland AveOakland, CA 94611-4567 · (510) 393-9882 · Fax (510) 597-7638

Phone(510) 393-9882

Fax(510) 597-7638

Sole ProprietorNo

Enumeration DateAugust 25, 2010

Last NPPES UpdateDecember 15, 2014

✔ NPI 1801102033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 84129

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

629 OAKLAND AVE, Oakland, CA 94611

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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

Jonathan Neal Willett 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 April 18, 2025 through April 18, 2027.

Opt-Out Effective DateApril 18, 2025

Opt-Out In Effect ThroughApril 18, 2027Opt-out affidavits renew automatically every two years unless cancelled