Eileen M Jandrisevits, MS, MFT, CADC-I

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MFT17882 Issued in CA

Practice address

6200 Stoneridge Mall Rd
3Rd Floor
Pleasanton, CA 94588-3242

Phone

(925) 484-3450

NPI assigned

Jul 16, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Feb 5, 2026 through Feb 5, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216166400000",
    "number": "1477717783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 308",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945660030",
            "telephone_number": "925-484-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 STONERIDGE MALL RD",
            "address_2": "3RD FLOOR",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945883242",
            "telephone_number": "925-484-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANDRISEVITS",
        "first_name": "EILEEN",
        "middle_name": "M",
        "credential": "MS, MFT, CADC-I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "08451504",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFT17882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arnold Bruce Jacobs, D.D.S.
• Jennifer Jacobs
• Kameswari Jammalamadaka, MA
• Raheem Jan
• Sumrah Jan
• Rakhibahen Tejas Jani, D.D.S
• Janice Nursing Corp (Mood Wellness)
• Anna Liu Jao, CMT
• Daniel Jardin
• W. Curtis Javorski, MD

• Mental Health Counselor in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.

Verify at the official NPI Registry.