HAESUE JO
NPI 1881008092
Marriage & Family Therapist in San Jose, CA

Q: What is Haesue Jo's NPI number?

The NPI number for Haesue Jo is 1881008092. It was assigned to this individual provider in the NPPES registry on June 16, 2014.

Q: What is Haesue Jo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Haesue Jo was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.

Active since June 16, 2014PECOS EnrolledAccepts Medicare Assignment

1071 BLOSSOM HILL RD, SAN JOSE, CA 95123(510) 498-3990 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 20, 2025, May 21, 2021, Sep 22, 2020 (3 updates tracked since 2020).

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About Haesue Jo NPPES

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

HAESUE JO (NPI 1881008092) is an individual marriage & family therapist in San Jose, California, licensed in California (100692) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1881008092

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameHAESUE JO

Location Address1071 BLOSSOM HILL RDSan Jose, CA 95123-1105

Mailing AddressPo Box 276950Sacramento, CA 95827-6950

Phone(510) 498-3990

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJune 16, 2014

Last NPPES UpdateMarch 20, 20253 updates tracked since enumeration

NPPES CertifiedMarch 20, 2025

✔ NPI 1881008092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 100692

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.

Also ListedCounselorTaxonomy 101Y00000X

1071 BLOSSOM HILL RD, San Jose, CA 95123

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Haesue Jo is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678094174

PECOS Enrollment IDI20250312001677

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.

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.

KASSAUNDRA CERVANTES

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