JESSICA LEE
NPI 1942052188
Marriage & Family Therapist in San Diego, CA

Q: What is Jessica Lee's NPI number?

The NPI number for Jessica Lee is 1942052188. It was assigned to this individual provider in the NPPES registry on April 2, 2024.

Q: What is Jessica Lee's specialty?

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

Q: Is Jessica Lee enrolled in Medicare?

No. Jessica Lee has opted out of Medicare through June 9, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Jessica Lee was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 02, 2024Opted out of Medicare · through Jun 9, 2027

3455 INGRAHAM ST, SAN DIEGO, CA 92109(442) 228-6554 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jessica Lee NPPES

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

JESSICA LEE (NPI 1942052188) is an individual marriage & family therapist in San Diego, California, licensed in California (136797) and active in the NPI registry since April 2024. She has opted out of Medicare through June 9, 2027.

NPPES Registry Identity

NPI1942052188

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameJESSICA LEE

Location Address3455 INGRAHAM STSan Diego, CA 92109-6713

Mailing Address3455 Ingraham StSan Diego, CA 92109-6713

Phone(442) 228-6554

Sole ProprietorYes

Enumeration DateApril 2, 2024

NPPES CertifiedApril 2, 2024

✔ NPI 1942052188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 136797

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.

3455 INGRAHAM ST, San Diego, CA 92109

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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

Jessica Lee 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 June 9, 2025 through June 9, 2027.

Opt-Out Effective DateJune 9, 2025

Opt-Out In Effect ThroughJune 9, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 9

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

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