Jackie Marie Meraz

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

101353 Issued in CA

Practice address

4604 Roosevelt Ave
Sacramento, CA 95820-4520

Phone

(916) 379-5876

NPI assigned

Sep 14, 2015

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

Practice roles

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.

• Glenn Medical Center, LLC

  • Critical Access Hospital
  • Willows, CA
  • NPI 1619929759
  NPD (past)
• Mood Clinical, P. C.

  • Adult Mental Health Clinic/Center
  • Santa Ana, CA
  • NPI 1922675644
  NPD (past)
• Psynergy Programs, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Sacramento, CA
  • NPI 1942618301
  NPD (past)

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1508234097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18225 HALE AVE",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950373547",
            "telephone_number": "408-465-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4604 ROOSEVELT AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958204520",
            "telephone_number": "916-379-5876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERAZ",
        "first_name": "JACKIE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-14",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "101353",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beabtsega Likoyu Menur
• Tristan Menz, DVM
• Kelsey Meraz Masten, LCSW
• Osmara Denisse Meraz-Mulron
• Alyssa Meraz
• Kayla Mercado - Mitchell
• Mercado Medical Group, Inc.
• Alejandro Mercado, MD
• Alex Mercado
• Amanda Mercado

• Marriage & Family Therapist in Sacramento, CA
• Providers in Sacramento, 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 Apr 5, 2022; 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.