Individual provider Active NPI

Jessica Spangler, LMFT

  • Marriage & Family Therapist
  • Pollock Pines, CA
National Provider Identifier
1902384449
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
84499 Issued in CA
Practice address
PO Box 31
Pollock Pines, CA 95726-0031
Phone
(619) 952-5227
NPI assigned
Aug 6, 2018
Last updated
Jun 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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 84499 CA Primary

Addresses

Primary practice location

PO Box 31
Pollock Pines, CA 95726-0031

Mailing address

PO Box 31
Pollock Pines, CA 95726-0031
Phone (619) 952-5227

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
I20260226002240 CA Practitioner - Marriage and Family Therapist 4688155781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

500 Westover Dr
Sanford, NC 27330-8941

PO Box
Suite 31
Pollock Pines, CA 95726

PO Box
Suite 31
Pollock Pines, CA 95726-0031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
84499CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Psych Sisters Counseling, Inc. Marriage & Family Therapist Current Accepting new patients
Sud Specialty Group - Ca Marriage & Family Therapist CurrentSince Feb 11, 2026 Accepting new patients
Cameron Park Counseling Center, Inc. Past Accepting new patients

Locations

970 Camerado Dr
Ste 200
Cameron Park, CA 95682
Phone (530) 677-4404

5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182

Organizations & group practices 3

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": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1902384449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31",
            "city": "POLLOCK PINES",
            "state": "CA",
            "postal_code": "957260031",
            "telephone_number": "619-952-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 31",
            "city": "POLLOCK PINES",
            "state": "CA",
            "postal_code": "957260031",
            "telephone_number": "619-952-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANGLER",
        "first_name": "JESSICA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-06",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "84499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pollock Pines, CA

Sources for this page

Verify at the official NPI Registry.