Tasha Jackson Fitzgerald

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

45578 Issued in CA

Practice address

870 Market St Ste 341
San Francisco, CA 94102-3022

Phone

(415) 505-2628

NPI assigned

Nov 21, 2022

Last updated

Nov 21, 2022By the provider in NPPES

Sex

Female

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

Opted out of Medicare

Yes, effective Oct 23, 2025 through Oct 23, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1699484550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 BON AIR CTR # 271",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949043017",
            "telephone_number": "415-505-2628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 MARKET ST STE 341",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941023022",
            "telephone_number": "415-505-2628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON FITZGERALD",
        "first_name": "TASHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WY",
            "license": "LMFT-273",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "45578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Armando Sayoc Jacinto, M.S.W.
• Jasmine Jaciw
• Jack E. Sherman, D.D.S. a Professional Corporation
• Nicole Jackman, MD,PHD
• Christina Suzanne Jacksack
• Carletta Jackson-Lane, J.D
• Alloise Jackson-Riley, AMFT 143689
• Elisia Jackson-Vogler, NURSE
• Adrienne Ann Jackson, DNP, FNP-C
• Aeronda Yuron Jackson

• Marriage & Family Therapist in San Francisco, CA
• Providers in San Francisco, 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 Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.