Active NPI
Bonnie Jacobson, MFT
- Marriage & Family Therapist
- Sacramento, CA
National Provider Identifier
1881773281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC29089
- Practice address
- 1792 Tribute Rd
Suite 350
Sacramento, CA 95815-4305 - Phone
- (916) 924-6400
- Fax
- (916) 648-0196
- NPI assigned
- Nov 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC29089 | CA | Primary |
Addresses
Primary practice location
1792 Tribute Rd
Suite 350
Sacramento, CA 95815-4305
Mailing address
1792 Tribute Rd
Suite 350
Sacramento, CA 95815-4305
Phone (916) 924-6400
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250812000651 | CA | Practitioner - Marriage and Family Therapist | 1153829882 | Practice locations: Sacramento, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC29089 | CA | MD | Marriage & Family Therapist |
| 29089 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329436800000",
"number": "1881773281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1792 TRIBUTE RD",
"address_2": "SUITE 350",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958154305",
"telephone_number": "916-924-6400",
"fax_number": "916-648-0196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1792 TRIBUTE RD",
"address_2": "SUITE 350",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958154305",
"telephone_number": "916-924-6400",
"fax_number": "916-648-0196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBSON",
"first_name": "BONNIE",
"credential": "MFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-04",
"last_updated": "2012-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC29089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.