Jessica Jacobson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PSB94026672 Issued in CA

Practice address

1900 The Alameda Ste 610-630
San Jose, CA 95126-1404

Phone

(408) 475-1665

NPI assigned

May 17, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Willow Anxiety and Ocd

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Los Gatos, CA
  • NPI 1316679467
  NPD
• Willow Anxiety and Ocd

  • Clinical Psychologist
  • San Jose, CA
  • NPI 1760174247
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1043069339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CORTEZ RD",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940623246",
            "telephone_number": "650-247-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 THE ALAMEDA STE 610-630",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951261404",
            "telephone_number": "408-475-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-17",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "PSB94026672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Jacobs
• Ritch V. Jacobs, D.C.
• Sarah Marie Jacobs, MD
• Bruce E. Jacobsen, MD
• Jan Jacobsen, OTR
• Marie Therese Jacobson, L.AC.
• Michele Jacobson
• Nicholas Jacque
• Jacqueline B. Nguyen, D.D.S., a Professional Corporation
• Jacqueline Broughton DC

• Mental Health Counselor in San Jose, CA
• Providers in San Jose, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.