Individual provider Active NPI

Laura Zell Jacobs, MFTI

  • Addiction (Substance Use Disorder) Counselor
  • Sacramento, CA
National Provider Identifier
1265838064
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
68-0483034 Issued in CA
Practice address
1513 Sports Dr
100
Sacramento, CA 95834-1943
Phone
(916) 575-8851
Fax
(916) 575-8861
NPI assigned
Nov 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 68-0483034 CA Primary

Addresses

Primary practice location

1513 Sports Dr
100
Sacramento, CA 95834-1943

Mailing address

1513 Sports Dr
100
Sacramento, CA 95834-1943
Phone (916) 575-8851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250409001378 CA Practitioner - Marriage and Family Therapist 9830613017 Practice locations: Folsom, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1024 Iron Point Rd
Folsom, CA 95630-8013
Phone (530) 903-0799

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
105405CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Preparingpeopleforsuccess Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1265838064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 SPORTS DR",
            "address_2": "100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341943",
            "telephone_number": "916-575-8851",
            "fax_number": "916-575-8861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 SPORTS DR",
            "address_2": "100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341943",
            "telephone_number": "916-575-8851",
            "fax_number": "916-575-8861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "LAURA",
        "middle_name": "ZELL",
        "credential": "MFTI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-06",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "68-0483034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.