Jill Nicole Peeler

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

134837 Issued in CA

Practice address

1683 Novato Blvd Ste 1B
Novato, CA 94947-3204

Phone

(510) 630-0831

NPI assigned

Aug 27, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Big Dog Counseling, Inc.

  • Clinical Neuropsychologist
  • Novato, CA
  • NPI 1629451703
  NPD (past)
• E5 Therapy

  • Mental Health Counselor
  • Suisun City, CA
  • NPI 1609405174
  NPD (past)
• E5 Therapy Inc.

  • Mental Health Counselor
  • Tampa, FL
  • NPI 1083390124
  NPD (past)

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1770064800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1683 NOVATO BLVD STE 1B",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949473204",
            "telephone_number": "510-630-0831",
            "fax_number": "707-759-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1683 NOVATO BLVD STE 1B",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949473204",
            "telephone_number": "510-630-0831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEELER",
        "first_name": "JILL",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "134837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa C Pasquinelli, PH.D.
• Oona Patchen, MS
• Neal Patel, D.D.S.
• Shivam Patel
• Robert Joseph Patocchi, M.D.
• Edward Kevin Penafiel
• Robin Beth Pence
• Cinthya Jajayra Perez Rivera
• Carmen Perez
• Maksim Pergamenshchikov, BA

• Marriage & Family Therapist in Novato, CA
• Providers in Novato, 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 Nov 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.