Jennifer S Mathey Mac Lellan

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

146685 Issued in CA

Practice address

1603A S Main St
Milpitas, CA 95035-6261

Phone

(408) 913-5019

NPI assigned

Jul 28, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hope ServicesGroup PAC ID 5597716233, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hope Services

  • Community/Behavioral Health Agency
  • San Jose, CA
  • NPI 1861445306
  Medicare reassignment Care Compare group NPD
• Hope Services

  • Community/Behavioral Health Agency
  • Mountain View, CA
  • NPI 1043571730
  NPD
• BCT, LLC

  • Case Manager/Care Coordinator
  • Concord, CA
  • NPI 1063942472
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1346793056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 PARKMOOR AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282407",
            "telephone_number": "408-282-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603A S MAIN ST",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950356261",
            "telephone_number": "408-913-5019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEY MAC LELLAN",
        "first_name": "JENNIFER",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-28",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "146685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryjane L. Fuster DMD Apc
• Marietta Lopez Marzan, DMD
• Massage Health Center
• Armando Mateos
• Sonia Matharoo
• Mandira C. Matta, MD
• Perlita Tongol Matute, DDS
• McCarthy Medical Center, Inc
• Jason Allen McClure, MA, LPCC
• Meal Heals Inc.

• Marriage & Family Therapist in Milpitas, CA
• Providers in Milpitas, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.