Jaclyn Woods, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

119314 Issued in CA

Practice address

1390 Price St
Pismo Beach, CA 93449-2218

Phone

(530) 919-0857

NPI assigned

Jan 12, 2023

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1184338287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1173 5TH ST",
            "city": "LOS OSOS",
            "state": "CA",
            "postal_code": "934021207",
            "telephone_number": "530-919-0857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 PRICE ST",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934492218",
            "telephone_number": "530-919-0857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "JACLYN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "119314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Wilde, RN
• Sarah Marie Willett, DPT
• Deirdre Betty Williams, DNP, FNP-BC
• Suzan Hillaire Williams, A.N.P.
• Cristina Ambos Wilson
• Carolyn Wright, PHD
• Stephanie Madalyn Yoder, MSN, FNP-BC
• Zoe Ann Zawalick, N.D.
• Clara Zhu, MD
• Donald Lee Zimmerman, PT

• Marriage & Family Therapist in Pismo Beach, CA
• Providers in Pismo Beach, 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 Jan 12, 2023; 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.