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MONIQUE JANSMA LCSW
NPI 1861671612
Social Worker - Clinical in Ukiah, CA

Active since October 29, 2007PECOS Enrolled
525 S MAIN ST, UKIAH, CA 95482(707) 320-8266 Get Directions Write a Review

NPPES record last updated: April 5, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Monique Jansma Lcsw NPPES

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

MONIQUE JANSMA LCSW (NPI 1861671612) is an individual clinical provider in Ukiah, California, licensed in California (LCS22909) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1861671612
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMONIQUE JANSMACredential: LCSW
Location Address525 S MAIN STUkiah, CA 95482-4959
Mailing Address525 S Main StUkiah, CA 95482-4959 · (707) 320-8266
Phone(707) 320-8266
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateOctober 29, 2007
Last NPPES UpdateApril 5, 2018
✔ NPI 1861671612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · LCS22909
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
525 S MAIN ST, Ukiah, CA 95482
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Monique Jansma Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729550652
PECOS Enrollment IDI20260611003024
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 Monique Jansma reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PC
144 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95482 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.87 – $176.60
Typical copayment $0.00 (range $14.71 – $44.15)
Most-billed visit code NA
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Monique Jansma's NPI number?

The NPI number for Monique Jansma is 1861671612. It was assigned to this individual provider in the NPPES registry on October 29, 2007.

Where is Monique Jansma located?

Monique Jansma practices at 525 S Main St, Ukiah, CA 95482. The listed phone number is (707) 320-8266.

What is Monique Jansma's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Monique Jansma enrolled in Medicare?

Yes. Monique Jansma is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Monique Jansma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Monique Jansma reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, 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 Monique Jansma'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 Monique Jansma was last updated on April 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.