JEREMY TAIT DAILEY LMFT, PHD
NPI 1891442919
Marriage & Family Therapist in San Juan Capistrano, CA
- Individual
- Male
- Marriage & Family Therapist
- Opted-Out Medicare
About JEREMY DAILEY
This page provides the complete NPI Profile along with additional information for Jeremy Dailey, a provider established in San Juan Capistrano, California with a medical specialization in Marriage & Family Therapist. The healthcare provider is registered in the NPI registry with number 1891442919 assigned on March 2022. The practitioner's primary taxonomy code is 106H00000X with license number 130723 (CA). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1891442919 Verify this NPI
- Provider Name
- JEREMY TAIT DAILEY LMFT, PHD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 31726 RANCHO VIEJO RD STE 100 SAN JUAN CAPISTRANO, CA 92675
- Location Phone
- (949) 670-8855
- Mailing Address
- 31726 RANCHO VIEJO RD STE 100 SAN JUAN CAPISTRANO, CA 92675
- Mailing Phone
- (949) 670-8855
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-08-2022
- Last Update Date
- 04-22-2024
- Code Navigator
A marriage and family therapist like Jeremy Dailey 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. Jeremy Dailey opted out of Medicare effective on 01-01-2024 until 01-01-2028. 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.
Location Map
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.
- 130723
- 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: 01-01-2024
Opt-Out End Date: 01-01-2028
Eligible to Order and Refer? No
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
SAN JUAN CAPISTRANO, CA 92675
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1891442919, enumerated as an "individual" on March 08, 2022.
The provider is located at 31726 RANCHO VIEJO RD STE 100 SAN JUAN CAPISTRANO, CA 92675 and the phone number is (949) 670-8855.
Marriage & Family Therapist with taxonomy code 106H00000X.
