Individual provider Active NPI

Jacqueline Miranda Adolfo, AMFT

  • Marriage & Family Therapist
  • Sacramento, CA
National Provider Identifier
1427664440
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT124381 Issued in CA
Practice address
3840 Rosin CT Ste 100
Sacramento, CA 95834-1645
Phone
(916) 917-6803
NPI assigned
Sep 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X AMFT124381 CA Primary
Marriage & Family Therapist 106H00000X 124381 CA
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

3840 Rosin CT Ste 100
Sacramento, CA 95834-1645

Mailing address

3840 Rosin CT Ste 100
Sacramento, CA 95834-1645
Phone (916) 917-6803

Other practice location 1

7000 Franklin Blvd Ste 625
Sacramento, CA 95823-1884
Phone (916) 388-9418

Other practice location 2

3050 Beacon Blvd Ste 103
West Sacramento, CA 95691-3467
Phone (916) 462-3105

Other names 1

  • Jackie Adolfo Other name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
124381CAMDMarriage & Family Therapist
AMFT124381CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1427664440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 ROSIN CT STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341645",
            "telephone_number": "916-917-6803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 ROSIN CT STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341645",
            "telephone_number": "916-917-6803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7000 Franklin Blvd Ste 625",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958231884",
            "country_code": "US",
            "telephone_number": "916-388-9418",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3050 Beacon Blvd Ste 103",
            "address_purpose": "LOCATION",
            "city": "West Sacramento",
            "state": "CA",
            "postal_code": "956913467",
            "country_code": "US",
            "telephone_number": "916-462-3105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADOLFO",
        "first_name": "JACQUELINE",
        "middle_name": "MIRANDA",
        "name_prefix": "Ms.",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-16",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT124381",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "124381",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACKIE",
            "last_name": "ADOLFO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.