JACOB JOSEPH GORDON GRAHAM
NPI 1861191330
Marriage & Family Therapist in Pasadena, CA

NPI Status: Active since February 23, 2023

Contact Information

650 SIERRA MADRE VILLA AVE STE 110
PASADENA, CA
ZIP 91107
Phone: (626) 351-9616
Fax: (626) 351-9493

NPI Profile Information
Primary Taxonomy
Medicare Participation & PECOS Status
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Marriage & Family Therapist
Opted-Out Medicare

About JACOB GRAHAM

This page provides the complete NPI Profile along with additional information for Jacob Graham, a provider established in Pasadena, California with a medical specialization in Marriage & Family Therapist. The healthcare provider is registered in the NPI registry with number 1861191330 assigned on February 2023. The practitioner's primary taxonomy code is 106H00000X with license number 135841 (CA). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI: 1861191330
Provider Name: JACOB JOSEPH GORDON GRAHAM
Gender: Male
Entity Type: Individual
Location Address: 650 SIERRA MADRE VILLA AVE STE 110 PASADENA, CA 91107
Location Phone: (626) 351-9616
Location Fax: (626) 351-9493
Mailing Address: 650 SIERRA MADRE VILLA AVE STE 110 PASADENA, CA 91107
Mailing Phone: (714) 493-2742
Mailing Fax: (626) 351-9493
Is Sole Proprietor?: No
Enumeration Date: 02-23-2023
Last Update Date: 02-23-2023
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A marriage and family therapist like Jacob Graham 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. Jacob Graham opted out of Medicare effective on 02-19-2025 until 02-19-2027. 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.

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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.: 135841
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.

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: 02-19-2025
Opt-Out End Date: 02-19-2027
Eligible to Order and Refer? No

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	8	6	1	1	9	1	3	3	0
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	8	12	1	2	9	2	3	6
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 2 + 1 + 2 + 9 + 2 + 3 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
									0

The NPI number 1861191330 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.