John Jack Shields Cousineau, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT90191 Issued in CA

Practice address

1340 Arnold Dr Ste 200
Martinez, CA 94553-4189

Phone

(510) 809-7350

NPI assigned

Oct 8, 2010

Last updated

Feb 5, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jack Shields Cousineau Former name

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1548570583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2378",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947020378",
            "telephone_number": "626-710-7915",
            "fax_number": "877-734-6906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 ARNOLD DR STE 200",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945534189",
            "telephone_number": "510-809-7350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "595 Center Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Martinez",
            "state": "CA",
            "postal_code": "945534629",
            "country_code": "US",
            "telephone_number": "510-809-7350",
            "fax_number": "877-734-6906",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1425 Oregon St Apt K4",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947022547",
            "country_code": "US",
            "telephone_number": "510-809-7350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COUSINEAU",
        "first_name": "JOHN JACK",
        "middle_name": "SHIELDS",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-08",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "90191",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT90191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACK",
            "last_name": "COUSINEAU",
            "middle_name": "SHIELDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Delia Cortes, SUDCC
• Jennifer Andrea Cortes
• Myles Andrew Coston
• Christie Ann Coupe
• Anne Courtney
• Caitlin Maeve Couture
• Christine Annette Couture, LCSW
• Blair Cowperthwaite
• Charles Crane
• Dominique Suzanne Crawford

• Marriage & Family Therapist in Martinez, CA
• Providers in Martinez, 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 Feb 5, 2025; 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.