JESSIE LYNN BRUCKI M.S.
NPI 1831714047
Marriage & Family Therapist in Long Beach, CA
- Individual
- Female
- Marriage & Family Therapist
- Opted-Out Medicare
About JESSIE BRUCKI
This page provides the complete NPI Profile along with additional information for Jessie Brucki, a provider established in Long Beach, California with a medical specialization in Marriage & Family Therapist. The healthcare provider is registered in the NPI registry with number 1831714047 assigned on June 2020. The practitioner's primary taxonomy code is 106H00000X with license number 141007 (CA). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1831714047 Verify this NPI
- Provider Name
- JESSIE LYNN BRUCKI M.S.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3545 LONG BEACH BLVD LONG BEACH, CA 90807
- Location Phone
- (562) 490-7600
- Mailing Address
- 3545 LONG BEACH BLVD LONG BEACH, CA 90807
- Mailing Phone
- (562) 490-7600
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-12-2020
- Last Update Date
- 08-22-2023
- Code Navigator
A marriage and family therapist like Jessie Brucki help patients manage problems with their family and other relationships. Marriage and family therapists encourage clients to discuss their emotions and experiences and, develop strategies and skills to change behavior and cope with difficult situations. Many therapists apply cognitive behavioral therapy to help patients understand harmful thoughts, feelings, and also teach patients how to replace them with positive, life-enhancing ones.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Jessie Brucki opted out of Medicare effective on 01-25-2024 until 01-25-2028. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Secondary Locations
- 5150 E Pacific Coast Hwy Ste 100
Long Beach, CA 90804
(562) 490-7600
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Marriage & Family Therapist
- Taxonomy Code
- 106H00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 141007
- License State
- CA
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | 120757 (CA) |
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 01-25-2024
Opt-Out End Date: 01-25-2028
Eligible to Order and Refer? No
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
LONG BEACH, CA 90807
LONG BEACH, CA 90807
LONG BEACH, CA 90807
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1831714047, enumerated as an "individual" on June 12, 2020.
The provider is located at 3545 LONG BEACH BLVD LONG BEACH, CA 90807 and the phone number is (562) 490-7600.
Marriage & Family Therapist with taxonomy code 106H00000X.
