LESLIE JACOBS (NPI# 1700420163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700420163 |
| Entity Type | Individual |
| Full Name | LESLIE JACOBS |
| Credential | AMFT |
| Practice Address |
1303 San Carlos Ave San Carlos CA 94070-2317 |
| Mailing Address |
Po Box 173 San Carlos CA 94070-0173 |
| Practice Telephone | 6505173272 |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2019-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 111768 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720115058 | Leslie J Jacobs | Dentist | 113 Rue Fontaine, Lafayette, LA 70508 | 2007-02-27 |
| 1093868101 | Leslie P. Jacobs | Social Worker | 547 Saw Mill River Rd Ste Ll1, Ardsley, NY 10502-2155 | 2007-01-19 |
| 1043320757 | Leslie Jacobs | Physical Therapy Assistant | 12 Industrial Pkwy, Brunswick, ME 04011-7314 | 2006-08-30 |
| 1891805677 | Leslie T Jacobs | Dentist | 811 East Main Street, Spartanburg, SC 29302 | 2006-08-30 |
| 1952504292 | Leslie C. Jacobs | Nurse Anesthetist, Certified Registered | 901 E 5th St, Washington, MO 63090-3127 | 2007-06-06 |
| 1356494942 | Leslie Ann Jacobs | Social Worker | 1956 Ohio Ave, Connersville, IN 47331-2858 | 2007-01-19 |
| 1770644684 | Leslie Jacobs | Specialist | 1509 Atkinson Rd, Suite 1100, Lawrenceville, GA 30043-7986 | 2006-12-13 |
| 1831262393 | Leslie Jacobs | Internal Medicine | 1389 Galleria Dr, Suite 100, Henderson, NV 89014-6685 | 2006-11-15 |
| Street Address |
1303 SAN CARLOS AVE |
| City | SAN CARLOS |
| State | CA |
| Zip Code | 94070-2317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073527198 | Perry Michael Shoor | Radiology | 1303 San Carlos Ave, San Carlos, CA 94070-2317 | 2006-07-27 |
| 1639770571 | Jennifer Sohn | Social Worker | 1303 San Carlos Ave, San Carlos, CA 94070-2317 | 2020-11-06 |
| 1003417098 | Irma Lizeth Camarena West | Counselor | 1303 San Carlos Ave, San Carlos, CA 94070-2317 | 2020-11-05 |
| 1487254819 | Margarita Baez Alvarez | Psychologist | 1303 San Carlos Ave, San Carlos, CA 94070-2317 | 2020-10-26 |
| 1093313413 | Danielle Bankson | Marriage & Family Therapist | 1303 San Carlos Ave, San Carlos, CA 94070-2317 | 2020-10-16 |
| 1669087813 | Elizabeth Ann Miller | Counselor | 1303 San Carlos Ave, San Carlos, CA 94070-2317 | 2020-09-14 |
| 1376156323 | Marcie Kay | Counselor | 1303 San Carlos Ave, San Carlos, CA 94070-2317 | 2020-08-28 |
| 1407466477 | Summit Brain Health | Emergency Medicine | 1303 San Carlos Ave, San Carlos, CA 94070-2317 | 2020-08-05 |
| 1184233637 | Pedro Adrian Cortez-mclaughlin | Counselor | 1303 San Carlos Ave, San Carlos, CA 94070-2317 | 2020-07-29 |
| 1366064271 | Christine Borba-furtado | Marriage & Family Therapist | 1303 San Carlos Ave, San Carlos, CA 94070-2317 | 2020-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669943189 | Regina Rayz | Community Health Worker | Edgewood Center, 957 Industrial Rd B, San Carlos, CA 94070 | 2018-12-10 |
| 1275026668 | Zhimiao Wang | Acupuncturist | 1608 Laurel St, San Carlos, CA 94070 | 2018-06-11 |
| 1922508324 | Erica Garica Romero | Counselor | 610 Elm Street, Suite 212, San Carlos, CA 94070 | 2018-02-13 |
| 1619482429 | Yicheng Han | Counselor | 527 Hillcrest Rd., San Carlos, CA 94070 | 2017-12-04 |
| 1679082192 | Enrique Francisco Delgado | Counselor | 610 Elm St. #212, San Carlos, CA 94070 | 2017-09-27 |
| 1871011379 | Melanie Schug | Counselor | 610 Elm Street, Suite 212, San Carlos, CA 94070 | 2017-09-05 |
| 1891213393 | Teresa Wace | Counselor | 1303 San Carlos Avenue, San Carlos, CA 94070 | 2017-09-05 |
| 1437671344 | Ana Garcia | Counselor | 957 Industrial Road, Suite B, San Carlos, CA 94070 | 2017-07-12 |
| 1629527825 | Annette Waters | Speech-Language Pathologist | 1017 Cedar St, San Carlos, CA 94070 | 2016-09-28 |
| 1962831297 | Kathleen Lauren Mcspadden | Marriage & Family Therapist | 1303 San Carlos Ave., San Carlos, CA 94070 | 2013-11-07 |
| Find all providers in zip 94070 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766811 | Cynthia Grogan Gallagher | Marriage & Family Therapist | 1139 San Carlos Ave Ste 308, San Carlos, CA 94070-2450 | 2020-10-08 |
| 1578032249 | Alison Little | Marriage & Family Therapist | 655 Skyway Rd Ste 222, San Carlos, CA 94070-2711 | 2018-11-24 |
| 1558885848 | Fernando Gutierrez Bejar | Marriage & Family Therapist | 232 Garnet Ave, San Carlos, CA 94070-4533 | 2017-07-28 |
| 1942751003 | Jill Bigelow | Marriage & Family Therapist | 961 Laurel St Ste 203, San Carlos, CA 94070-3954 | 2016-10-24 |
| 1528489069 | Carol Downie Lee | Marriage & Family Therapist | 1350 Cherry St., San Carlos, CA 94070-6888 | 2013-12-31 |
| 1962831297 | Kathleen Lauren Mcspadden | Marriage & Family Therapist | 1303 San Carlos Ave., San Carlos, CA 94070 | 2013-11-07 |
| 1548512098 | Julie Haskell Ford | Marriage & Family Therapist | 610 Elm Street Suite 212, San Carlos, CA 94070 | 2012-10-09 |
| 1023261625 | Stephanie Rudolph | Marriage & Family Therapist | 1161 Cherry St Ste P, San Carlos, CA 94070-3137 | 2008-10-28 |
| 1497901375 | Tami L Schmalz | Marriage & Family Therapist | 1701 Industrial Rd, San Carlos, CA 94070-4114 | 2008-08-12 |
| 1972773455 | Marti Louise Erickson | Marriage & Family Therapist | 1209 Eaton Ave Ste 1, San Carlos, CA 94070-5234 | 2008-03-11 |
| Find all providers in SAN CARLOS | ||||
| City | SAN CARLOS |
| Zip Code | 94070 |
Please comment or provide details below to improve the information on LESLIE JACOBS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.