Jacob Daniel Rosen, LMFT107103

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT107103 Issued in CA

Practice address

7 Commercial St
Eureka, CA 95501-0241

Phone

(707) 382-2445

NPI assigned

Jun 28, 2016

Sex

Male

Sole proprietor

Yes

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

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.

• City of Eureka Dba Crisis Alternative Response of Eureka

  • Community/Behavioral Health Agency
  • Eureka, CA
  • NPI 1760106405
  NPD Authorized official
• City of Eureka Dba Uplift Eureka

  • Case Management Agency
  • Eureka, CA
  • NPI 1497630016
  NPD

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1558712810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6912",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955026912",
            "telephone_number": "530-949-2884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 COMMERCIAL ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955010241",
            "telephone_number": "707-382-2445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3921 E St",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "CA",
            "postal_code": "955036027",
            "country_code": "US",
            "telephone_number": "530-949-2884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "JACOB",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "LMFT107103",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-28",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT107103",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LMFT107103",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Ann Vidovich Root
• John Manuel Rosa
• Douglas Santford Rose-Noble, LCSW
• Kathi A Rose-Noble, LCSW
• Ellen Magnolia Rosebaugh Petitjean
• Wayne E Roslosnik, R.P.T.
• Benjamin Berkley Ross
• Richard Don Ross
• Steven Mark Ross, RN
• Susanne Ross, NP

• Marriage & Family Therapist in Eureka, CA
• Providers in Eureka, 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 28, 2026; 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.