Individual provider Active NPI

Jacquelynn Kimoi Marler

  • Addiction (Substance Use Disorder) Counselor
  • Rancho Cordova, CA
National Provider Identifier
1366346686
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
27075 Issued in CA
Practice address
10089 Folsom Blvd Ste a
Rancho Cordova, CA 95670-1935
Phone
(916) 366-6531
Fax
(916) 366-6532
NPI assigned
Oct 8, 2026
Last updated
Oct 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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 27075 CA Primary

Addresses

Primary practice location

10089 Folsom Blvd Ste a
Rancho Cordova, CA 95670-1935

Mailing address

3600 Data Dr
Rancho Cordova, CA 95670-7903
Phone (916) 366-6531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1791417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1366346686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 DATA DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707903",
            "telephone_number": "916-366-6531",
            "fax_number": "916-366-6532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10089 FOLSOM BLVD STE A",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956701935",
            "telephone_number": "916-366-6531",
            "fax_number": "916-366-6532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARLER",
        "first_name": "JACQUELYNN",
        "middle_name": "KIMOI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-08",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "27075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cordova, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.