JIA REBECCA LI LMFT
NPI 1861086670
Marriage & Family Therapist in Portola Valley, CA

Active since February 22, 2021Opted out of Medicare · through Jan 1, 2028
3130 ALPINE ROAD, STE 288- 226, PORTOLA VALLEY, CA 94028(650) 701-3123 Get Directions Write a Review

NPPES record last updated: March 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jia Rebecca Li Lmft NPPES

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

JIA REBECCA LI LMFT (NPI 1861086670) is an individual marriage & family therapist in Portola Valley, California, licensed in California (119101) and active in the NPI registry since February 2021. She has opted out of Medicare through January 1, 2028 and maintains a secondary practice location in Portola Valley.

NPPES Registry Identity

NPI1861086670
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJIA REBECCA LICredential: LMFT
Location Address3130 ALPINE ROAD, STE 288- 226Portola Valley, CA 94028
Mailing Address3130 Alpine Road, Ste 288- 226Portola Valley, CA 94028 · (650) 701-3123
Sole ProprietorYes
Enumeration DateFebruary 22, 2021
Last NPPES UpdateMarch 14, 2022
NPPES CertifiedMarch 14, 2022
NPI 1861086670 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 · 119101
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.
3130 ALPINE ROAD, Portola Valley, CA 94028

Secondary Practice Location 1

Location 1126 Brookside DrPortola Valley, CA 94028-7804 · Phone (650) 701-3123

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Jia Rebecca Li Lmft 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 January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Jia Li's NPI number?

The NPI number for Jia Li is 1861086670. It was assigned to this individual provider in the NPPES registry on February 22, 2021.

Where is Jia Li located?

Jia Li practices at 3130 Alpine Road Ste 288- 226, Portola Valley, CA 94028. The listed phone number is (650) 701-3123.

What is Jia Li's specialty?

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

Is Jia Li enrolled in Medicare?

No. Jia Li has opted out of Medicare through January 1, 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 Jia Li was last updated on March 14, 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.