MS. JENNIFER ALINE PEDELABORDE
NPI 1871796433
Counselor - Mental Health in Oakland, CA

Q: What is Jennifer Pedelaborde's NPI number?

The NPI number for Jennifer Pedelaborde is 1871796433. It was assigned to this individual provider in the NPPES registry on June 8, 2007.

Q: What is Jennifer Pedelaborde's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: Is Jennifer Pedelaborde enrolled in Medicare?

No. Jennifer Pedelaborde has opted out of Medicare through February 14, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since June 08, 2007Opted out of Medicare · through Feb 14, 2028

2540 CHARLESTON ST, OAKLAND, CA 94602(510) 225-8302 Get Directions Write a Review

NPPES record last updated: July 12, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Jennifer Aline Pedelaborde NPPES

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

MS. JENNIFER ALINE PEDELABORDE (NPI 1871796433) is an individual mental health provider in Oakland, California and active in the NPI registry since June 2007. She has opted out of Medicare through February 14, 2028.

NPPES Registry Identity

NPI1871796433

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMS. JENNIFER ALINE PEDELABORDE

Location Address2540 CHARLESTON STOakland, CA 94602-2508

Mailing Address2540 Charleston StOakland, CA 94602-2508 · (510) 225-8302

Phone(510) 225-8302

Sole ProprietorNo

Enumeration DateJune 8, 2007

Last NPPES UpdateJuly 12, 2007

✔ NPI 1871796433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

2540 CHARLESTON ST, Oakland, CA 94602

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Ms. Jennifer Aline Pedelaborde 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 14, 2024 through February 14, 2028.

Opt-Out Effective DateFebruary 14, 2024

Opt-Out In Effect ThroughFebruary 14, 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.

Other Providers at the Same Location NPPES 20

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

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