Jacquelyn Marie Stansell

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

153852 Issued in CA

Practice address

1374 Sir Francis Drake Blvd Apt a
San Anselmo, CA 94960-1841

Phone

(510) 932-1363

NPI assigned

Apr 24, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1396432985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1374 SIR FRANCIS DRAKE BLVD APT A",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949601841",
            "telephone_number": "510-932-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1374 SIR FRANCIS DRAKE BLVD APT A",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949601841",
            "telephone_number": "510-932-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANSELL",
        "first_name": "JACQUELYN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-24",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "153852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Burrell Speights
• Christine Ann Spinda
• Ariel Marc Spindell, MFT
• Sport & Spine Therapy of Marin Inc
• Stanislaus County
• Stephanie Morris
• R Scott Sullender, PHD
• Peijie Sun, PHARMD
• Sunglass City Inc (Wink Optics)
• Kathryn Suslov, MD

• Marriage & Family Therapist in San Anselmo, CA
• Providers in San Anselmo, 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 Mar 20, 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.