Active NPI
Spencer Barrett Jacobs, MFT
- Marriage & Family Therapist
- Mill Valley, CA
National Provider Identifier
1932361599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 50045
- Practice address
- 495 Miller Ave
Suite 105
Mill Valley, CA 94941-5837 - Phone
- (415) 968-5566
- NPI assigned
- Jun 25, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 50045 | CA | Primary |
Addresses
Primary practice location
495 Miller Ave
Suite 105
Mill Valley, CA 94941-5837
Mailing address
495 Miller Ave
Suite 105
Mill Valley, CA 94941-5837
Phone (415) 310-5650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 9, 2025 through Oct 9, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50045 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480291200000",
"number": "1932361599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "495 MILLER AVE",
"address_2": "SUITE 105",
"city": "MILL VALLEY",
"state": "CA",
"postal_code": "949415837",
"telephone_number": "415-310-5650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "495 MILLER AVE",
"address_2": "SUITE 105",
"city": "MILL VALLEY",
"state": "CA",
"postal_code": "949415837",
"telephone_number": "415-968-5566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "SPENCER",
"middle_name": "BARRETT",
"name_prefix": "Mrs.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-25",
"last_updated": "2016-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "50045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mill Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.