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JESSICA VECHAKUL
NPI 1841742350
Marriage & Family Therapist in Berkeley, CA

Active since October 31, 2016Opted out of Medicare · through Feb 17, 2028
1500 RUSSELL ST, BERKELEY, CA 94703(510) 545-3360 Get Directions Write a Review

NPPES record last updated: January 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 21, 2021, May 18, 2018, Nov 8, 2016 and 1 more (4 updates tracked since 2016).

About Jessica Vechakul NPPES

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

JESSICA VECHAKUL (NPI 1841742350) is an individual marriage & family therapist in Berkeley, California, licensed in California (123005) and active in the NPI registry since October 2016. She has opted out of Medicare through February 17, 2028 and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1841742350
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJESSICA VECHAKUL
Location Address1500 RUSSELL STBerkeley, CA 94703-2020
Mailing Address1500 Russell StBerkeley, CA 94703-2020 · (510) 545-3360
Phone(510) 545-3360
Sole ProprietorNo
Enumeration DateOctober 31, 2016
Last NPPES UpdateJanuary 21, 20214 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2021
✔ NPI 1841742350 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 · 123005
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.
1500 RUSSELL ST, Berkeley, CA 94703
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Secondary Practice Locations 2

Location 1368 Fell StSan Francisco, CA 94102-5144 · Phone (415) 861-0828 · Fax (415) 861-0257
Location 22712 Telegraph AveBerkeley, CA 94705 · Phone (510) 548-8283

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jessica Vechakul 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 February 17, 2024 through February 17, 2028.

Opt-Out Effective DateFebruary 17, 2024
Opt-Out In Effect ThroughFebruary 17, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

BERKELEY HOLISTIC THERAPY, A MARRIAGE AND FAMILY THERAPY CORPORATION
Marriage & Family Therapist
1500 RUSSELL ST
BERKELEY, CA 94703
Alameda County (510) 545-3350

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 Jessica Vechakul's NPI number?

The NPI number for Jessica Vechakul is 1841742350. It was assigned to this individual provider in the NPPES registry on October 31, 2016.

Where is Jessica Vechakul located?

Jessica Vechakul practices at 1500 Russell St, Berkeley, CA 94703. The listed phone number is (510) 545-3360.

What is Jessica Vechakul's specialty?

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

Is Jessica Vechakul enrolled in Medicare?

No. Jessica Vechakul has opted out of Medicare through February 17, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jessica Vechakul was last updated on January 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.