Jalaledin Ebrahim, LMFT in San Jose, CA - Medicare Marriage & Family Therapist Provider

Jalaledin Ebrahim, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in San Jose, California. His current practice location is 2001 The Alameda, San Jose, California. You can reach out to his office (for appointments etc.) via phone at (408) 261-7777.

Jalaledin Ebrahim is licensed to practice in California (license number MFC 50838) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1255457388.

Contact Information

	Jalaledin Ebrahim, LMFT
	2001 The Alameda, San Jose, CA 95126-1136
	(408) 261-7777
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jalaledin Ebrahim
Gender	Male
Speciality	Marriage & Family Therapist
Location	2001 The Alameda, San Jose, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255457388
Provider Enumeration Date: 03/21/2007
Last Update Date: 03/03/2016

Medicare PECOS Information:

PECOS PAC ID: 4486090966
Enrollment ID: I20240306003223

Medical Identifiers

Medical identifiers for Jalaledin Ebrahim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255457388	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	MFC 50838 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jalaledin Ebrahim allows following entities to bill medicare on his behalf.

Entity Name	Santa Barbara County Auditor
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487857405 PECOS PAC ID: 9335052083 Enrollment ID: O20081226000157

Entity Name	Santa Barbara Behavioral Health, A Psychological Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528182573 PECOS PAC ID: 3870017536 Enrollment ID: O20250403003259

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jalaledin Ebrahim is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jalaledin Ebrahim, LMFT 912 Capitola Ave, Apt 8, Capitola, CA 95010-2135 Ph: (310) 880-6123	Jalaledin Ebrahim, LMFT 2001 The Alameda, San Jose, CA 95126-1136 Ph: (408) 261-7777

Reviews and Comments

Marriage & Family Therapist in San Jose, CA

Kara Seeger, M.A. MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1276 Lincoln Ave Ste 206, San Jose, CA 95125 Phone: 408-621-7030
Jee Y Lee, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2400 Moorpark Ave Ste 300, San Jose, CA 95128 Phone: 408-975-2730
Christina Nguyen, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2400 Moorpark Ave Ste 300, San Jose, CA 95128 Phone: 408-975-2730
Garrett Macedo, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 232 E Gish Rd, San Jose, CA 95112 Phone: 805-844-8246
James Richard Koch, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2170 The Alameda Ste 201, San Jose, CA 95126 Phone: 408-316-6938
Jeffrey S Watson, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6562 Leyland Park Dr, San Jose, CA 95120 Phone: 323-397-2277
Ms. Mayra Victoria Arriete, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1022 W Hedding St, San Jose, CA 95126 Phone: 408-882-5072 Fax: 408-248-9753

Jalaledin Ebrahim, LMFT - Medicare Couples Therapy in San Jose, CA