MS. SANDRA LEE JACOBS (NPI# 1639375207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639375207 |
| Entity Type | Individual |
| Full Name | MS. SANDRA LEE JACOBS |
| Credential | MFT |
| Practice Address |
2055 Kellogg Ave Corona CA 92879-3111 |
| Practice Telephone | 9518987153 |
| Practice Fax Number | 9518987178 |
| Mailing Telephone | 9518987153 |
| Mailing Fax Number | 9518987178 |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFT21524 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164079885 | Sandra Jacobs | Technician | 5384 Corral Ct, Las Vegas, NV 89119-2815 | 2019-08-19 |
| 1720346604 | Sandra E. Jacobs | Marriage & Family Therapist | 3145 Morning Way, La Jolla, CA 92037-1908 | 2012-04-27 |
| 1659672046 | Sandra Lee Jacobs | Physical Therapist | 606 Lake St, Roscommon, MI 48653-7615 | 2010-11-16 |
| 1821698481 | Sandra Espinosa Jacobs | Behavioral Analyst | 1868 Nacogdoches Rd, San Antonio, TX 78209-2216 | 2020-10-31 |
| 1316398779 | Sandra Jacobs | Counselor | 700 Coastal Village Dr, Brunswick, GA 31520-1974 | 2016-06-28 |
| 1902044886 | Sandra L Jacobs | Nurse Practitioner | 1300 Tiger Blvd, Clemson, SC 29631 | 2009-01-30 |
| 1659547966 | Sandra Lynn Jacobs | Occupational Therapist | 9201 W Watertown Plank Rd, Milwaukee, WI 53226-3558 | 2008-05-06 |
| 1396718599 | Sandra J Jacobs | Nurse Anesthetist, Certified Registered | 1600 N Main Ave, Lovington, NM 88260-2830 | 2006-02-08 |
| 1215924956 | Sandra Jacobs | Nurse Practitioner | 555 S 18th St, Columbus, OH 43205-2696 | 2005-09-27 |
| Street Address |
2055 KELLOGG AVE |
| City | CORONA |
| State | CA |
| Zip Code | 92879-3111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013999218 | Pushan Chowdhury | Pediatrics | 2055 Kellogg Ave, Corona, CA 92879-3111 | 2005-11-15 |
| 1316429384 | Juan Carlos Palacios | Respiratory Therapist, Registered | 2055 Kellogg Ave, Corona, CA 92879-3111 | 2018-09-05 |
| 1124500103 | Michael Paul Gordon | Respiratory Therapist, Registered | 2055 Kellogg Ave, Corona, CA 92879-3111 | 2018-09-05 |
| 1437631405 | Clorinda Gloria Benavidez | Respiratory Therapist, Registered | 2055 Kellogg Ave, Corona, CA 92879-3111 | 2018-09-05 |
| 1699214197 | Mark Sabillo | Pharmacist | 2055 Kellogg Ave, Corona, CA 92879-3111 | 2017-02-16 |
| 1255879326 | Kathleen Varisco | Pharmacist | 2055 Kellogg Ave, Corona, CA 92879-3111 | 2017-02-08 |
| 1750829297 | Rina Williams | Pharmacist | 2055 Kellogg Ave, Corona, CA 92879-3111 | 2017-02-04 |
| 1447647326 | Andrew Dornan | Psychiatry & Neurology | 2055 Kellogg Ave, Corona, CA 92879-3111 | 2015-04-18 |
| 1093108334 | Stephanie Winters | Social Worker | 2055 Kellogg Ave, Corona, CA 92879-3111 | 2015-03-11 |
| 1982007969 | Michelle Wendel | Marriage & Family Therapist | 2055 Kellogg Ave, Corona, CA 92879-3111 | 2014-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475722 | Tahmea Henderson | Behavior Technician | 225 Rincon St. #219, Corona, CA 92879 | 2020-10-20 |
| 1669084828 | Kimberly O Harris | Behavioral Analyst | 225 E. Rincon St., Suite 219, Corona, CA 92879 | 2020-08-19 |
| 1962014381 | Mario Javier Herrera | Nurse Practitioner | 2130 High Pointe Dr, Apt 108, Corona, CA 92879 | 2020-08-18 |
| 1841659117 | Sleep & Cpap Center Inc | Clinical Medical Laboratory | 800 Magnolia Avenue, Suite 101, Corona, CA 92879 | 2016-02-16 |
| 1497151203 | Rafik Riad | Dentist | 817 Villa Montes Cir., Corona, CA 92879 | 2014-11-06 |
| 1326441551 | Ying Zhang Howe | Acupuncturist | 720 Magnolia Ave. #b3, Corona, CA 92879 | 2014-10-02 |
| 1164823233 | Piyush Sakhareliya | Pharmacist | 2230 Treemont Pl, Apt#207, Corona, CA 92879 | 2014-09-09 |
| 1053711739 | Brandice Medical Associates Inc | Clinical Medical Laboratory | 13575 Jasper Loop, Corona, CA 92879 | 2014-08-29 |
| 1982956058 | Nja Therapy Services, Inc. | Day Training, Developmentally Disabled Services | 1655 E 6th St Suite 204, Corona, CA 92879 | 2012-10-12 |
| 1356616064 | Corona Surgical LLC | Clinic/Center | 2370 Anselmo Drive, Corona, CA 92879 | 2012-03-13 |
| Find all providers in zip 92879 | ||||
| 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 |
|---|---|---|---|---|
| 1679121842 | Israel Gonzalez Cruz | Marriage & Family Therapist | 10324 Corona Ave, Corona, NY 11368-3177 | 2019-08-30 |
| 1629559802 | Skt Therapy Inc | Marriage & Family Therapist | 765 N Main St Ste 152, Corona, CA 92880 | 2018-08-24 |
| 1427551498 | Maria Del Carmen Adams | Marriage & Family Therapist | 355 E Rincon St Ste 211, Corona, CA 92879-1370 | 2018-03-15 |
| 1265974992 | Teresa Arciero | Marriage & Family Therapist | 2545 Quiet Meadow Cir, Corona, CA 92881-6610 | 2016-11-11 |
| 1669802922 | Megan Mary Pedroza | Marriage & Family Therapist | 2800 Keystone Cir, Corona, CA 92882-5989 | 2013-11-22 |
| 1366872889 | Stefanie Marie Bolio | Marriage & Family Therapist | 1451 Rimpau Ave Ste 212, Corona, CA 92879-7522 | 2013-11-19 |
| 1225465347 | Gina G Cross | Marriage & Family Therapist | 1185 Millbrook Rd, Corona, CA 92882-5851 | 2013-10-03 |
| 1376881706 | Noelle Angela Wingate | Marriage & Family Therapist | 1451 Rimpau Ave Ste 209, Corona, CA 92879-7522 | 2013-01-18 |
| 1376822999 | Stacie F Jablon | Marriage & Family Therapist | 2909 Griffin Cir, Corona, CA 92879-6100 | 2011-08-13 |
| 1528347648 | Shrinidhi S Iyengar | Marriage & Family Therapist | 3352 Deaver Dr, Corona, CA 92882-8900 | 2011-08-07 |
| Find all providers in CORONA | ||||
Please comment or provide details below to improve the information on MS. SANDRA LEE 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.