JESSICA PETERS
NPI 1457785917
Counselor - Mental Health in San Carlos, CA

NPI Status: Active since September 02, 2013

Contact Information

610 ELM ST
SAN CARLOS, CA
ZIP 94070
Phone: (650) 591-9623

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  • Individual
  • Female
  • Counselor
  • Mental Health
  • Opted-Out Medicare

About JESSICA PETERS

This page provides the complete NPI Profile along with additional information for Jessica Peters, a provider established in San Carlos, California with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1457785917 assigned on September 2013. The practitioner's primary taxonomy code is 101YM0800X with license number 74280 (CA). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI
1457785917
Provider Name
JESSICA PETERS
Gender
Female
Entity Type
Individual
Location Address
610 ELM ST SAN CARLOS, CA 94070
Location Phone
(650) 591-9623
Mailing Address
PO BOX 720161 SAN FRANCISCO, CA 94172
Is Sole Proprietor?
No
Enumeration Date
09-02-2013
Last Update Date
09-02-2013
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A mental health counselor like Jessica Peters provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

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. Jessica Peters opted out of Medicare effective on 02-07-2025 until 02-07-2027. 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.

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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

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
74280
License State
CA

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: 02-07-2025

  • Opt-Out End Date: 02-07-2027

  • Eligible to Order and Refer? No

Reviews for JESSICA PETERS

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1457785917
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241071481092
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 0 + 7 + 1 + 4 + 8 + 1 + 0 + 9 + 2 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1457785917 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1801935028DR. SHERRI TERAO ED.D.
Individual
Psychologist (Clinical Child & Adolescent)610 ELM ST SUITE 212
SAN CARLOS, CA 94070
(650) 401-8617
1083753263MRS. MERLE SABER LMFT
Individual
Marriage & Family Therapist610 ELM ST SUITE 212
SAN CARLOS, CA 94070
(650) 591-9623
1871710442 CANDICE NEWNES
Individual
Counselor (Mental Health)610 ELM ST
SAN CARLOS, CA 94070
(650) 591-9623
1780801357 ELISA ROMEO
Individual
Counselor (Mental Health)610 ELM ST
SAN CARLOS, CA 94070
(650) 591-9623
1851519490MISS YVETTE MARIE MACDONALD LCSW
Individual
Social Worker (Clinical)610 ELM ST SUITE 212
SAN CARLOS, CA 94070
(650) 367-9687
1780803262 TAMBERLY MOTT MA., MFT
Individual
Counselor (Mental Health)610 ELM ST
SAN CARLOS, CA 94070
(415) 632-8702
1689893257 TONIA CHEN
Individual
Marriage & Family Therapist610 ELM ST
SAN CARLOS, CA 94070
(650) 591-9623
1447454616MISS KRISTA LEE WISSING MFT
Individual
Marriage & Family Therapist610 ELM ST SUITE 212
SAN CARLOS, CA 94070
(650) 591-9623
1598954760 REBEKAH SKOOR
Individual
Counselor610 ELM ST SUITE 212
SAN CARLOS, CA 94070
(650) 591-9623
1144464868MISS PAMELA BETH KRASNER M.S.W.
Individual
Social Worker (Clinical)610 ELM ST SUITE 212
SAN CARLOS, CA 94070
(650) 579-0361
1215171673MR. EDDIE ESTRADA MSW
Individual
Social Worker (Clinical)610 ELM ST STE. 212
SAN CARLOS, CA 94070
(650) 465-7041
1730416124 JENNY VOSACEK MFTT
Individual
Marriage & Family Therapist610 ELM ST
SAN CARLOS, CA 94070
(347) 228-9643
1740502202 HAGIT ZEEV MFTI
Individual
Marriage & Family Therapist610 ELM ST STE 212
SAN CARLOS, CA 94070
(650) 591-9623
1891003703MS. ROSLYN CHAPLIN MFTI, LMHC
Individual
Marriage & Family Therapist610 ELM ST
SAN CARLOS, CA 94070
(650) 366-8436
1629386891 LARA M CLAYMAN LCSW
Individual
Social Worker (Clinical)610 ELM ST
SAN CARLOS, CA 94070
(650) 579-0361
1225319080MRS. BLANKA LEEKER MA
Individual
Counselor610 ELM ST SUITE 212
SAN CARLOS, CA 94070
(650) 591-9623
1609081280 SARA LARIOS MITCHELL
Individual
Counselor (Mental Health)610 ELM ST
SAN CARLOS, CA 94070
(650) 591-9623
1124439229 JANDY REBECCA JONES MFTI
Individual
Counselor (Mental Health)610 ELM ST 212
SAN CARLOS, CA 94070
(650) 591-9623
1982984936MS. KAREN A. JAFFE-MCAWEENEY MSW, ASW
Individual
Social Worker (Clinical)610 ELM ST SUITE 212
SAN CARLOS, CA 94070
(650) 591-9623
1972970499STARVISTA
Organization
Community/Behavioral Health610 ELM ST SUITE 212
SAN CARLOS, CA 94070
(650) 591-9623

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457785917, enumerated in the NPI registry as an "individual" on September 02, 2013

The provider is located at 610 Elm St San Carlos, Ca 94070 and the phone number is (650) 591-9623

The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health

No, the provider signed an affidavit on February 07, 2025 to opt-out of the Medicare program. The provider is excluded from the Medicare program until February 07, 2027.

This NPI record was last updated on September 02, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.