Individual provider Active NPI

Jacqueline Reese, PSYD., LMFT

  • Marriage & Family Therapist
  • Lancaster, CA
National Provider Identifier
1770765430
Registry record updated Sep 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 51043 Issued in CA
Practice address
44285 Lowtree Ave
Lancaster, CA 93534-4170
Phone
(661) 341-3900
NPI assigned
Dec 4, 2007
Last updated
Sep 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 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 MFC 51043 CA Primary

Addresses

Primary practice location

44285 Lowtree Ave
Lancaster, CA 93534-4170

Mailing address

15437 Anacapa Rd
Victorville, CA 92392-2458
Phone (760) 220-7120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251205002349 CA Practitioner - Marriage and Family Therapist 2769525708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1730 N Sevenoaks Way
Eagle, ID 83616-6619

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC 51043CAMDMarriage & Family Therapist
51043CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Counseling Center for Marriage and Family, Inc Marriage & Family Therapist CurrentSince Sep 21, 2025 Accepting new patients
Reese Counseling LLC CurrentSince Jul 1, 2021 Accepting new patients

Locations

15437 Anacapa Rd
Victorville, CA 92392
Phone (760) 220-7120

Organizations & group practices 2

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": "1196726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758326400000",
    "number": "1770765430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15437 ANACAPA RD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923922458",
            "telephone_number": "760-220-7120",
            "fax_number": "208-963-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44285 LOWTREE AVE",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344170",
            "telephone_number": "661-341-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESE",
        "first_name": "JACQUELINE",
        "credential": "PSYD., LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-04",
        "last_updated": "2025-09-20",
        "certification_date": "2025-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 51043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.