MR. LARRY ALAN JACOBS (NPI# 1114941085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114941085 |
| Entity Type | Individual |
| Full Name | MR. LARRY ALAN JACOBS |
| Credential | MFT |
| Practice Address |
900 5th Ave Suite 203 San Rafael CA 94901-2959 |
| Mailing Address |
Po Box 151268 San Rafael CA 94915-1268 |
| Practice Telephone | 4159789229 |
| Practice Fax Number | 4154996313 |
| Mailing Telephone | 4155072725 |
| Mailing Fax Number | 4154996313 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFC12700 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MARRIAGE FAMILY THERAPIST | MFC12700 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871554667 | Larry E Jacobs | Internal Medicine | 1250 S Cedar Crest Blvd, Suite 300, Allentown, PA 18103-6224 | 2006-03-31 |
| Street Address |
900 5TH AVE SUITE 203 |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94901-2959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649726126 | Joellen Friesner | Counselor | 900 5th Ave, Suite #150, San Rafael, CA 94901-2959 | 2016-08-25 |
| 1063968550 | Brandi Seekins | Counselor | 900 5th Ave, Ste 150, San Rafael, CA 94901-2959 | 2016-08-25 |
| 1578952909 | Michelle Jeannine Silletto | Counselor | 900 5th Ave, Suite 150, San Rafael, CA 94901-2959 | 2015-01-22 |
| 1265838460 | Caitlin Nevin | Counselor | 900 5th Ave, Suite 150, San Rafael, CA 94901-2959 | 2014-11-15 |
| 1174940597 | Gustavo Goncalves | Counselor | 900 5th Ave, Suite 150, San Rafael, CA 94901-2959 | 2014-03-24 |
| 1982026126 | Joey Angeloni | Counselor | 900 5th Ave, 150, San Rafael, CA 94901-2959 | 2014-01-07 |
| 1609297415 | Dawn Bottini | Counselor | 900 5th Ave, Suite 150, San Rafael, CA 94901-2959 | 2013-12-20 |
| 1073944088 | Geralyn Carol Gendron | Counselor | 900 5th Ave, Suite 150, San Rafael, CA 94901-2959 | 2013-12-02 |
| 1396175501 | Sarah Kay | Counselor | 900 5th Ave, Suite 150, San Rafael, CA 94901-2959 | 2013-11-25 |
| 1801225693 | Casey Mccue | Counselor | 900 5th Ave, Suite 150, San Rafael, CA 94901-2959 | 2013-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780207134 | Marianne Haissman Stefancic | Marriage & Family Therapist | 409 Forbes Ave., San Rafael, CA 94901 | 2020-05-20 |
| 1093292765 | Marin Community Clinic | Clinic/Center | 411 4th Strteet, Suite A, San Rafael, CA 94901 | 2018-07-25 |
| 1275052516 | Laura Ellen Silverstein | Marriage & Family Therapist | 600 Fifth Avenue, San Rafael, CA 94901 | 2017-09-19 |
| 1689101107 | Marin Family Recovery | Clinic/Center | 1209 Third St. Ste 4, San Rafael, CA 94901 | 2017-05-15 |
| 1376070011 | Tencia Beavers-sanchez | Counselor | 710 C Street Suite#8, Marin Outpatient&recoveryservices, Sanrafael, CA 94901 | 2017-05-12 |
| 1326584905 | Jamie Waterman | Emergency Medical Technician, Basic | 675 Sir Francis Drake Blvd, Kentfield, CA 94901 | 2017-01-06 |
| 1295270676 | Stephen Marks | Counselor | 900 Fifth Avenue, Suite 150, ; San Rafael, CA 94901 | 2016-12-21 |
| 1497299812 | Vesna Sturman | Psychologist | 712 D St Ste L, San Rafael, CA 94901 | 2016-12-05 |
| 1063955771 | Carol Dutton Hollenberg | Behavior Technician | 503 D St., San Rafael, CA 94901 | 2016-11-29 |
| 1083069447 | Bay Area Community Resources | Community/Behavioral Health | 103 Shoreline Parkway, San Rafael, CA 94901 | 2016-05-04 |
| Find all providers in zip 94901 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780207134 | Marianne Haissman Stefancic | Marriage & Family Therapist | 409 Forbes Ave., San Rafael, CA 94901 | 2020-05-20 |
| 1568081586 | Leslie Dempsey | Marriage & Family Therapist | 256 Orris Ter, San Rafael, CA 94903-2510 | 2020-04-09 |
| 1548898653 | Rochelle Edwards | Marriage & Family Therapist | 2173 Francisco Blvd E Ste B, San Rafael, CA 94901-5523 | 2020-04-01 |
| 1699232074 | Pamela Meyer | Marriage & Family Therapist | 1330 Lincoln Ave Ste 208d, San Rafael, CA 94901-2142 | 2019-02-21 |
| 1043774052 | Collin Hoctor | Marriage & Family Therapist | 712 D St Ste P, San Rafael, CA 94901-3706 | 2019-01-23 |
| 1568967768 | Paula F Mierzejewski | Marriage & Family Therapist | 710 C St Ste 9, San Rafael, CA 94901-3853 | 2018-03-28 |
| 1275052516 | Laura Ellen Silverstein | Marriage & Family Therapist | 600 Fifth Avenue, San Rafael, CA 94901 | 2017-09-19 |
| 1114450715 | Jay Stone Rice | Marriage & Family Therapist | 2173 Francisco Blvd E Ste J, San Rafael, CA 94901-5523 | 2017-04-10 |
| 1467997809 | Sara Elizabeth Gardner | Marriage & Family Therapist | 448 Du Bois St, San Rafael, CA 94901-3911 | 2016-12-20 |
| 1740724467 | Lisa Hauck-loy | Marriage & Family Therapist | 1330 Lincoln Ave Ste 306, San Rafael, CA 94901-2143 | 2016-12-14 |
| Find all providers in SAN RAFAEL | ||||
| City | SAN RAFAEL |
| Zip Code | 94901 |
Please comment or provide details below to improve the information on MR. LARRY ALAN JACOBS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.