Kimberly Ann Jacobo

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

AMFT143307 Issued in CA

Practice address

3631 S Harbor Blvd Ste 200
Santa Ana, CA 92704-7936

Phone

(657) 356-6490

NPI assigned

Sep 7, 2022

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

Other names 1

• Kimberly Ann Marmolejo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1053032078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3631 S HARBOR BLVD STE 200",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927047936",
            "telephone_number": "657-356-6490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3631 S HARBOR BLVD STE 200",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927047936",
            "telephone_number": "657-356-6490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBO",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-07",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT143307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "MARMOLEJO",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anisha Nicole Jackson, PA
• Chantal Tauben Jackson
• Dejaeyon Jackson
• Jessica Parker Jackson
• Maryam Jackson VIII
• Sarah Jacobo
• Dean S Jacobs, M.D.
• Evan Jacobs, RBT
• Troy Anthony Jacobs, MD, MPH, FAAP
• Cathleen Carmel Jacobson, LMFT

• Marriage & Family Therapist in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; 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.