Individual provider Active NPI

Jacob Thomas Costa, MS, LMFT

  • Marriage & Family Therapist
  • San Francisco, CA
National Provider Identifier
1467024075
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
142700 Issued in CA
Practice address
300 Montgomery St Ste 204
San Francisco, CA 94104-1904
Phone
(415) 202-5159
NPI assigned
Jul 13, 2021
Last updated
Dec 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 142700 CA Primary

Addresses

Primary practice location

300 Montgomery St Ste 204
San Francisco, CA 94104-1904

Mailing address

PO Box 4130
Long Beach, CA 90804-0130
Phone (310) 918-9581

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 16, 2024 through Jan 16, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
142700CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Two Chairs Behavioral Health Group, a Psychology Corporation Marriage & Family Therapist CurrentSince Jun 30, 2024 Accepting new patients

Locations

300 Montgomery St
Ste 204
San Francisco, CA 94104
Phone (619) 894-6270

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1467024075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4130",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908040130",
            "telephone_number": "310-918-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MONTGOMERY ST STE 204",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941041904",
            "telephone_number": "415-202-5159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTA",
        "first_name": "JACOB",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "MS, LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-13",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "142700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.