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JILL MATTESICH-UDOUTCH
NPI 1912537648
Marriage & Family Therapist in Pleasanton, CA

Active since January 22, 2020Opted out of Medicare · through Dec 19, 2026
90 MISSION DR STE 5, PLEASANTON, CA 94566(925) 960-3552 Get Directions Write a Review

NPPES record last updated: January 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jill Mattesich-udoutch NPPES

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

JILL MATTESICH-UDOUTCH (NPI 1912537648) is an individual marriage & family therapist in Pleasanton, California and active in the NPI registry since January 2020. She has opted out of Medicare through December 19, 2026.

NPPES Registry Identity

NPI1912537648
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJILL MATTESICH-UDOUTCH
Location Address90 MISSION DR STE 5Pleasanton, CA 94566-7655
Mailing Address1138 Florence RdLivermore, CA 94550-5545 · (925) 960-3552
Phone(925) 960-3552
Sole ProprietorYes
Enumeration DateJanuary 22, 2020
✔ NPI 1912537648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
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.
90 MISSION DR STE 5, Pleasanton, CA 94566
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jill Mattesich-udoutch 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 December 19, 2024 through December 19, 2026.

Opt-Out Effective DateDecember 19, 2024
Opt-Out In Effect ThroughDecember 19, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

MIND & SPIRIT COUNSELING CENTER
Clinic/Center (Mental Health (Including Community Mental Health Center))
90 MISSION DR STE 5
PLEASANTON, CA 94566
Alameda County (925) 960-3552

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 Jill Mattesich-udoutch's NPI number?

The NPI number for Jill Mattesich-udoutch is 1912537648. It was assigned to this individual provider in the NPPES registry on January 22, 2020.

Where is Jill Mattesich-udoutch located?

Jill Mattesich-udoutch practices at 90 Mission Dr Ste 5, Pleasanton, CA 94566. The listed phone number is (925) 960-3552.

What is Jill Mattesich-udoutch's specialty?

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

Is Jill Mattesich-udoutch enrolled in Medicare?

No. Jill Mattesich-udoutch has opted out of Medicare through December 19, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jill Mattesich-udoutch was last updated on January 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.