Tessa Jacques

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

77706 Issued in CA

Practice address

263 Nevada Station
Auburn, CA 95603

Phone

(916) 415-8456

NPI assigned

May 23, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Motherlode Counseling

  • Marriage & Family Therapist
  • Auburn, CA
  • NPI 1609528066
  NPD Authorized official

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

{
    "created_epoch": "1400803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400803200000",
    "number": "1427460583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 QUIET PL",
            "city": "GEORGETOWN",
            "state": "CA",
            "postal_code": "956349328",
            "telephone_number": "916-759-4469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 NEVADA STATION",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "95603",
            "telephone_number": "916-415-8456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACQUES",
        "first_name": "TESSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-23",
        "last_updated": "2014-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "77706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devin Jackson
• Joan Jackson, LMFT
• Kathryn Jackson, CADC-II
• Julie Lynn Jacobs, DDS
• Rebecca Marit Jacobson, MS CCC-SLP
• Vikram Jairam, M.D.
• Lars Jakob Jakobsen, M.D.
• James a. Willis MD Inc
• James E Pogue RPT, Inc
• James N. Hardwick

• Marriage & Family Therapist in Auburn, CA
• Providers in Auburn, 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 May 23, 2014; 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.