JENNIFER NICOLE CALDWELL ASSOCIATE MFT
NPI 1821566704
Marriage & Family Therapist in Berkeley, CA

Active since November 08, 2018PECOS Enrolled
1835 ALLSTON WAY, BERKELEY, CA 94703(510) 613-0330 Get Directions Write a Review

NPPES record last updated: December 13, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 13, 2019, Nov 8, 2018 (2 updates tracked since 2018).

About Jennifer Nicole Caldwell Associate Mft NPPES

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

JENNIFER NICOLE CALDWELL ASSOCIATE MFT (NPI 1821566704) is an individual marriage & family therapist in Berkeley, California, licensed in California (AMFT106444) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1821566704
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJENNIFER NICOLE CALDWELLCredential: ASSOCIATE MFT
Location Address1835 ALLSTON WAYBerkeley, CA 94703-1764
Mailing Address2624 73rd Ave Apt AOakland, CA 94605-2844 · (510) 560-1821
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 8, 2018
Last NPPES UpdateDecember 13, 20192 updates tracked since enumeration
✔ NPI 1821566704 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 · AMFT106444
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.
1835 ALLSTON WAY, Berkeley, CA 94703

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Nicole Caldwell Associate Mft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345718078
PECOS Enrollment IDI20260511002616
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 Jennifer Caldwell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
1980 ALLSTON WAY STE H105
Berkeley, CA 94704
  • Reassigned Medicare billing, California enrollment
  • 30 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.

Counselor (Addiction (Substance Use Disorder))
1835 ALLSTON WAY
BERKELEY, CA 94703
Counselor (Addiction (Substance Use Disorder))
1835 ALLSTON WAY
BERKELEY, CA 94703
Counselor (Addiction (Substance Use Disorder))
1835 ALLSTON WAY
BERKELEY, CA 94703
Marriage & Family Therapist
1835 ALLSTON WAY
BERKELEY, CA 94703
Counselor (Addiction (Substance Use Disorder))
1835 ALLSTON WAY
BERKELEY, CA 94703
Counselor (Addiction (Substance Use Disorder))
1835 ALLSTON WAY
BERKELEY, CA 94703
Counselor (Addiction (Substance Use Disorder))
1835 ALLSTON WAY
BERKELEY, CA 94703
Counselor (Addiction (Substance Use Disorder))
1835 ALLSTON WAY
BERKELEY, CA 94703

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 Jennifer Caldwell's NPI number?

The NPI number for Jennifer Caldwell is 1821566704. It was assigned to this individual provider in the NPPES registry on November 8, 2018.

Where is Jennifer Caldwell located?

Jennifer Caldwell practices at 1835 Allston Way, Berkeley, CA 94703. The listed phone number is (510) 613-0330.

What is Jennifer Caldwell's specialty?

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

Is Jennifer Caldwell enrolled in Medicare?

Yes. Jennifer Caldwell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jennifer Caldwell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Caldwell reassigns Medicare benefits to City Of Berkeley (Berkeley, 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 Jennifer Caldwell'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 Jennifer Caldwell was last updated on December 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.