JESSICA JACOBY (NPI# 1831649896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831649896 |
| Entity Type | Individual |
| Full Name | JESSICA JACOBY |
| Practice Address |
15305 Rayen St North Hills CA 91343-5117 |
| Practice Telephone | 8188923423 |
| Practice Fax Number | 8188934509 |
| Mailing Telephone | 8188923423 |
| Mailing Fax Number | 8188934509 |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-11-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 96381 | CA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL | 95-2633765 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710490545 | Jessica Lynn Jacoby | Pediatrics | 2404 Ne 187th Pl, Vancouver, WA 98684-6448 | 2017-11-15 |
| 1134496045 | Jessica Victoria Jacoby | Social Worker | 1001 Rohlwing Rd, Elk Grove Village, IL 60007-3217 | 2011-11-20 |
| Street Address |
15305 RAYEN ST |
| City | NORTH HILLS |
| State | CA |
| Zip Code | 91343-5117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881793313 | Penny Lane Centers | Case Management | 15305 Rayen St, North Hills, CA 91343-5117 | 2006-09-21 |
| 1669099289 | Jakuta M Ptah | Marriage & Family Therapist | 15305 Rayen St, North Hills, CA 91343-5117 | 2020-06-30 |
| 1609404128 | Kimberly Jimenez | Rehabilitation Practitioner | 15305 Rayen St, North Hills, CA 91343-5117 | 2020-03-30 |
| 1134754179 | Leanna Alexis Ramos | Case Manager/Care Coordinator | 15305 Rayen St, North Hills, CA 91343-5117 | 2020-03-10 |
| 1295369288 | Edwin Javier Olmedo | Case Manager/Care Coordinator | 15305 Rayen St, North Hills, CA 91343-5117 | 2020-02-27 |
| 1457985442 | Cristal Torres | Rehabilitation Practitioner | 15305 Rayen St, North Hills, CA 91343-5117 | 2020-02-27 |
| 1295369411 | Emanuel Huerta Serna | Case Manager/Care Coordinator | 15305 Rayen St, North Hills, CA 91343-5117 | 2020-02-26 |
| 1558991539 | Eduardo Garcia | Case Manager/Care Coordinator | 15305 Rayen St, North Hills, CA 91343-5117 | 2020-01-19 |
| 1568002020 | Jaspreet Singh | Counselor | 15305 Rayen St, North Hills, CA 91343-5117 | 2020-01-13 |
| 1720627433 | Jennifer Tobon | Case Manager/Care Coordinator | 15305 Rayen St, North Hills, CA 91343-5117 | 2019-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487261681 | Esperanza Armenta | Case Manager/Care Coordinator | 16861 Parthenia Street, North Hills, CA 91343 | 2020-09-30 |
| 1295355758 | Island One and Associates | Social Worker | 9528 Lemona Ave, North Hills, CA 91343 | 2020-04-24 |
| 1154951416 | Estefanie Ramos | Case Manager/Care Coordinator | 16861 Parthenia St., North Hills, CA 91343 | 2020-01-24 |
| 1336793728 | Mitra Minovi | Dentist | 9444 Ruffner Ave, Northridge, CA 91343 | 2019-07-24 |
| 1649762600 | Reza Akbar, Dds, Inc. | Dentist | 15300 Parthenia St, North Hills, CA 91343 | 2018-06-05 |
| 1073002663 | Golmah Zarinkhou | Student in an Organized Health Care Education/Training Program | Va Sepulveda Ambulatory Care Center, 16111 Plummer, Street Dental Services (160), Bldg 10 Rm 1c-100, North Hills, CA 91343 | 2018-05-09 |
| 1740729037 | Ophelia Sanchez | Case Manager/Care Coordinator | 15305 Rayen, North Hills, CA 91343 | 2017-02-20 |
| 1386001519 | Ada Angeles | Dietitian, Registered | 15210 Parthenia, North Hills, CA 91343 | 2016-01-19 |
| 1043691371 | Valley Grace Home, Inc. | Skilled Nursing Facility | 16052 Chase St, North Hills, CA 91343 | 2015-06-11 |
| 1063828234 | Joshua Tree Healthcare, Inc. | Home Health | 16909 Parthenia St Ste 302a, Northridge, CA 91343 | 2014-07-08 |
| Find all providers in zip 91343 | ||||
| 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 |
|---|---|---|---|---|
| 1609477090 | Carla Rizo | Marriage & Family Therapist | 9710 Kester Ave, North Hills, CA 91343-2412 | 2020-11-03 |
| 1508231804 | Shanice Harris | Marriage & Family Therapist | 8338 Woodley Pl Unit 29, North Hills, CA 91343-6237 | 2015-12-11 |
| 1700222692 | Cynthia Elisa Seyerle | Marriage & Family Therapist | 9259 Hayvenhurst Ave, North Hills, CA 91343-3606 | 2013-05-17 |
| 1295937621 | Bolaji Adeleye | Marriage & Family Therapist | 15108 Tamarack Ct, North Hills, CA 91343-7823 | 2007-06-05 |
| 1548386055 | Geronimo Mendoza Sanchez | Marriage & Family Therapist | 15333 Rayen St., North Hills, CA 91343 | 2007-03-22 |
| 1396876769 | Tina Roya Hendizadeh | Marriage & Family Therapist | 15305 Rayen St., North Hills, CA 91343 | 2007-03-08 |
| 1073682738 | Sara Diane Chappell | Marriage & Family Therapist | 15317 Rayen St, North Hills, CA 91343-5117 | 2006-11-07 |
| 1669099289 | Jakuta M Ptah | Marriage & Family Therapist | 15305 Rayen St, North Hills, CA 91343-5117 | 2020-06-30 |
| 1376174466 | Nelson Mayen | Marriage & Family Therapist | 9119 Haskell Ave, North Hills, CA 91343-3121 | 2020-01-28 |
| 1679110472 | Lisa Christina Mello | Marriage & Family Therapist | 15305 Rayen St, North Hills, CA 91343-5117 | 2019-11-30 |
| Find all providers in NORTH HILLS | ||||
| City | NORTH HILLS |
| Zip Code | 91343 |
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| 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.