Judith Ann Jacobs, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT3489 Issued in FL

Practice address

8400 N University Dr Ste 209
Tamarac, FL 33321

Phone

(954) 880-5985

NPI assigned

Feb 23, 2017

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 identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: judithjacobs@tdh.allscriptsdirect.net

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.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Marriage & Family Therapist

  NPD

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

{
    "created_epoch": "1487808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1154861185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 N DIXIE HWY",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330605621",
            "telephone_number": "954-785-8285",
            "fax_number": "954-784-2756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 N UNIVERSITY DR STE 209",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "33321",
            "telephone_number": "954-880-5985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "817 N Dixie Hwy",
            "address_purpose": "LOCATION",
            "city": "Pompano Beach",
            "state": "FL",
            "postal_code": "330605621",
            "country_code": "US",
            "telephone_number": "954-785-8285 x1003",
            "fax_number": "954-784-2756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "JUDITH",
        "middle_name": "ANN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-23",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT3489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RMFTI",
            "identifier": "IMT2016",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RMFTI",
            "identifier": "IMT2106",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shenaz Jabon
• Jac Health Mnagement LLC
• Reagan Lauren Jackso9N
• Marsha Jackson, APRN
• Marie-Paule L Jacob-Ampuero, M.D.
• Jacqueline Boutrouille MD PA
• Jersa Jadotte
• Maria Alejandra Jaimes, M.D.
• Lisa-Ann James-Watson
• Janee D. Steinberg, M.D., PA

• Marriage & Family Therapist in Tamarac, FL
• Providers in Tamarac, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.