JENNIFER LEE MCKINNEY (LMFT) – Marriage & Family Therapist, NPI 1083787642

JENNIFER LEE MCKINNEY (LMFT) is a healthcare provider. based in Bay point, California. specializing in MARRIAGE AND FAMILY THERAPIST. They hold the professional credentials LMFT. They hold a License No. 41568 (CA). The NPI Number for JENNIFER LEE MCKINNEY (LMFT) is 1083787642

Main info

Female
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER LEE MCKINNEY (LMFT)
NPI
1083787642
Phone
(925) 458-3216
Address
205 PACIFICA AVE
Enumeration Date
15 November 2006
Last Update Date
11 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9257776300
Graduation Year
2000 (26 years ago)
PAC ID
0749624120
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20240214001849
Address ID
CA945318238AN3454XAVEX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

4,984 MARRIAGE AND FAMILY THERAPIST in CA

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Provider Addresses for JENNIFER LEE MCKINNEY (LMFT)

  • 205, Pacifica Avenue, Club Marina, Shore Acres, Bay Point, Contra Costa County, California, 94565, United States

    BAY POINT, CA 945652904

    Phone: (925) 458-3216

    Type: Location

  • 1076, Apple Court, Fruitbowl, Concord, Contra Costa County, California, 94518, United States

    CONCORD, CA 945183101

    Phone: (925) 825-4763

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240214001849IMarriage And Family TherapistCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94565)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921910225View full group profile
NameSpecialtyState
Emergency MedicineDC
Colorectal Surgery (Proctology), General SurgeryLA
-CA
N E U R O S U R G E R YMA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
Emergency MedicineCA
-MA
Emergency MedicineCA

Reviews

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Frequently asked questions

How do payers reference JENNIFER LEE MCKINNEY (LMFT)?
For JENNIFER LEE MCKINNEY (LMFT), use NPI 1083787642 as the unique 10-digit identifier.
Is JENNIFER LEE MCKINNEY (LMFT) still an active registrant?
JENNIFER LEE MCKINNEY (LMFT) carries an active NPI according to the public dataset.
What area of care is associated with JENNIFER LEE MCKINNEY (LMFT)?
JENNIFER LEE MCKINNEY (LMFT)'s record emphasizes Marriage & Family Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with JENNIFER LEE MCKINNEY (LMFT)?
Directory geography for JENNIFER LEE MCKINNEY (LMFT) centers on Bay Point, California.
When was this NPI issued?
Enumeration for JENNIFER LEE MCKINNEY (LMFT) is noted as November 15, 2006 where the registry provides it.

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