Active NPI
Jeffrey Kenneth Gielow, MFT, PPSC
- Marriage & Family Therapist
- Mountain View, CA
National Provider Identifier
1134650310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 91061
- Practice address
- 26 Moonbeam Dr
Mountain View, CA 94043-1934 - Phone
- (650) 429-8336
- NPI assigned
- Mar 21, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 91061 | CA | Primary |
Addresses
Primary practice location
26 Moonbeam Dr
Mountain View, CA 94043-1934
Mailing address
26 Moonbeam Dr
Mountain View, CA 94043-1934
Phone (650) 269-3118
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 91061 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604620800000",
"number": "1134650310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 MOONBEAM DR",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940431934",
"telephone_number": "650-269-3118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 MOONBEAM DR",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940431934",
"telephone_number": "650-429-8336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIELOW",
"first_name": "JEFFREY",
"middle_name": "KENNETH",
"name_prefix": "Mr.",
"credential": "MFT, PPSC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-21",
"last_updated": "2020-11-06",
"certification_date": "2020-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "91061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mountain View, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.