Individual provider Active NPI

Jamison Brogan Medcalf, LMFT

  • Marriage & Family Therapist
  • Lincoln, CA
National Provider Identifier
1801437322
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT163840 Issued in CA
Practice address
1669 Portello Way
Lincoln, CA 95648-8910
Phone
(916) 272-5665
NPI assigned
Oct 6, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X SUDRC10234 CA
Marriage & Family Therapist 106H00000X LMFT163840 CA Primary

Addresses

Primary practice location

1669 Portello Way
Lincoln, CA 95648-8910

Mailing address

1669 Portello Way
Lincoln, CA 95648-8910
Phone (916) 272-5665

Other practice location 1

1540 Eureka Rd Ste 100
Roseville, CA 95661-3056
Phone (530) 722-2233

Other practice location 2

2580 Victor Ave Ste C
Redding, CA 96002-1455
Phone (530) 722-9092

Other practice location 3

2901 S H St
Bakersfield, CA 93304-5602
Phone (661) 398-4303

Other identifiers 4

IdentifierTypeStateIssuer
SUDRC10234OtherCACADTP
AMFT114404OtherCABOARD OF BEHAVIORAL SCIENCES
AMFT157592OtherCABBS
LMFT163840OtherCABBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SUDRC10234CAMDAddiction (Substance Use Disorder) Counselor
AMFT157592CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1570320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1801437322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1669 PORTELLO WAY",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956488910",
            "telephone_number": "916-272-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1669 PORTELLO WAY",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956488910",
            "telephone_number": "916-272-5665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1540 Eureka Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956613056",
            "country_code": "US",
            "telephone_number": "530-722-2233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2580 Victor Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960021455",
            "country_code": "US",
            "telephone_number": "530-722-9092",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2901 S H St",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933045602",
            "country_code": "US",
            "telephone_number": "661-398-4303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDCALF",
        "first_name": "JAMISON",
        "middle_name": "BROGAN",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-06",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "SUDRC10234",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT163840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CADTP",
            "identifier": "SUDRC10234",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF BEHAVIORAL SCIENCES",
            "identifier": "AMFT114404",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BBS",
            "identifier": "AMFT157592",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BBS",
            "identifier": "LMFT163840",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.