Nina Karlin Jacob, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT30720 Issued in CA

Practice address

860 Via de la Paz # 3E
Pacific Palisades, CA 90272-3608

Phone

(310) 613-0143

NPI assigned

Jan 13, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1710638572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 VIA DE LA PAZ # 3E",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723608",
            "telephone_number": "310-613-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 VIA DE LA PAZ # 3E",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723608",
            "telephone_number": "310-613-0143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "NINA",
        "middle_name": "KARLIN",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT30720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Horan, PH.D.
• Debra Ann Horn, L.AC.
• Hayden Hunter
• Erin Lynne Imler, MD
• Gary Allan Jacob, DC
• Tanya Jacob, PHD
• Richard Leslie Jacobson, D.M.D, M.S.
• Frank Jasper, L.AC
• Richard A Johnson, MD
• Arielle Erin Jones

• Marriage & Family Therapist in Pacific Palisades, CA
• Providers in Pacific Palisades, 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 Jan 13, 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.