Mr Jack Shields Cousineau, LMFT - Medicare Couples Therapy in Antioch, CA

Mr Jack Shields Cousineau, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Antioch, California. His current practice location is 3700 Delta Fair Blvd Ste 201a, Antioch, California. You can reach out to his office (for appointments etc.) via phone at (510) 809-7350.

Mr Jack Shields Cousineau is licensed to practice in California (license number LMFT90191) 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 1548570583.

Contact Information

Mr Jack Shields Cousineau, LMFT
3700 Delta Fair Blvd Ste 201a,
Antioch, CA 94509-4073
(510) 809-7350
(855) 647-5562

Map and Direction


Healthcare Provider's Profile

Full NameMr Jack Shields Cousineau
GenderMale
SpecialityMarriage & Family Therapist
Location3700 Delta Fair Blvd Ste 201a, Antioch, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1548570583
  • Provider Enumeration Date: 10/08/2010
  • Last Update Date: 10/15/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5294188512
  • Enrollment ID: I20240201004424

Medical Identifiers

Medical identifiers for Mr Jack Shields Cousineau such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548570583NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
106H00000XMarriage & Family Therapist LMFT90191 (California)Primary

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. Mr Jack Shields Cousineau 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 AddressPractice Location Address
Mr Jack Shields Cousineau, LMFT
Po Box 697,
Hayward, CA 94543-0697

Ph: (626) 710-7915
Mr Jack Shields Cousineau, LMFT
3700 Delta Fair Blvd Ste 201a,
Antioch, CA 94509-4073

Ph: (510) 809-7350

Reviews and Comments


Marriage & Family Therapist in Antioch, CA

Mrs. Carmen Ancinas-gee, MFT
Couples Therapy
Medicare: Medicare Enrolled
Practice Location: 2213 Buchanan Rd, Antioch, CA 94509
Phone: 925-779-4964    
Kathy Lee Quinlan, IMF
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 315 G St, Antioch, CA 94509
Phone: 925-706-8477    Fax: 925-706-0285
Jimena Salcedo,
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 2335 Country Hills Dr, Antioch, CA 94509
Phone: 925-608-8700    
Ms. Lakita Denise Long, MS
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 915 W 4th St, Antioch, CA 94509
Phone: 925-238-8711    
Myesha Daniell Richardson, M.A.
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 2335 Country Hills Dr, Antioch, CA 94509
Phone: 925-608-8700    Fax: 925-608-8715
Ms. Faith Ho,
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 3721 Sunset Ln Ste D, Antioch, CA 94509
Phone: 925-978-0208    
Eileen Hobson Brooks, LMFT
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 3501 Lone Tree Way Ste 200, Antioch, CA 94509
Phone: 925-427-8664    Fax: 925-427-8645

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.