Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeremy Livingston

Individual provider Counselor · NPI 1386004679

Jeremy Livingston is a Clinical Social Worker in Ukiah, California. Qualified in 2016, 10 years ago. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

631 S Orchard Ave
Ukiah, CA 95482-5011
Phone: (707) 467-2010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 89721 (CA)
Counselor Taxonomy 101Y00000X
Rehabilitation Counselor Taxonomy 225C00000X

Record details

NPI number1386004679
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 29, 2016
Last updated in NPPESAugust 13, 2025
Certification dateAugust 13, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Ukiah