Jackson J Spencer, M.S.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

110577 Issued in CA

Practice address

5740 N Palm Ave Ste 101
Fresno, CA 93704-1800

Phone

(559) 547-0907

Fax

(559) 705-1921

NPI assigned

Sep 9, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Marriage and Family Therapist

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Deeply Rooted Family Counseling Prof Corp

  • Mental Health Counselor
  • Fresno, CA
  • NPI 1104697499
  NPD (past) Authorized official
• Fresno County Superintendent of Schools

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fresno, CA
  • NPI 1235624768
  NPD
• Fresno County Superintendent of Schools

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fresno, CA
  • NPI 1467042408
  NPD
• Fresno Family Therapy

  • Marriage & Family Therapist
  • Fresno, CA
  • NPI 1174016240
  NPD (past)

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1831590884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5740 N PALM AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937041800",
            "telephone_number": "559-547-0907",
            "fax_number": "559-705-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5740 N PALM AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937041800",
            "telephone_number": "559-547-0907",
            "fax_number": "559-705-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "JACKSON",
        "middle_name": "J",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-09",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "110577",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "81152",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "110577",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regina Spehalski, OT
• Jeanine Kay Spence, P.T.
• Spencer Care LLC
• Emily Spencer
• Garfield Jermyuer Spencer
• Maya Symone Spencer
• Richard Oliver Spencer, D.D.S.
• Laura Lee Spera, LMFT
• Abbigail Speth
• Garrett Speyer, CRNA

• Marriage & Family Therapist in Fresno, CA
• Providers in Fresno, 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 Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.