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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MELANIE PETERSON JACOCKS RMFTI
NPI 1114850617
Marriage & Family Therapist in Hollywood, FL

Active since June 04, 2026
4000 HOLLYWOOD BLVD STE 715, HOLLYWOOD, FL 33021(833) 769-3524 Get Directions Write a Review

NPPES record added: June 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Melanie Peterson Jacocks Rmfti NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELANIE PETERSON JACOCKS RMFTI (NPI 1114850617) is an individual marriage & family therapist in Hollywood, Florida, licensed in Florida (IMT4620) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1114850617
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMELANIE PETERSON JACOCKSCredential: RMFTI
Location Address4000 HOLLYWOOD BLVD STE 715Hollywood, FL 33021-6755
Mailing Address4800 N Scottsdale Rd Ste 2500Scottsdale, AZ 85251-7630 · (833) 769-3524
Phone(833) 769-3524
Sole ProprietorNo
Enumeration DateJune 4, 2026
Last NPPES UpdateJune 10, 2026
NPPES CertifiedJune 10, 2026
✔ NPI 1114850617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in FL · IMT4620
Definition
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.
4000 HOLLYWOOD BLVD STE 715, Hollywood, FL 33021
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA JEANETTE ISIDRON LMHC
Counselor (Mental Health)
4000 HOLLYWOOD BLVD STE 715
HOLLYWOOD, FL 33021
Broward County (877) 653-5907
MS. SHAVANDA FERGUSON LCSW
Social Worker (Clinical)
4000 HOLLYWOOD BLVD STE 715
HOLLYWOOD, FL 33021
Broward County (833) 769-3524
TANZILLA JAHAN LMHC
Counselor (Mental Health)
4000 HOLLYWOOD BLVD STE 715
HOLLYWOOD, FL 33021
Broward County (877) 653-5907
MICHAEL ROISMAN LCSW
Social Worker (Clinical)
4000 HOLLYWOOD BLVD STE 715
HOLLYWOOD, FL 33021
Broward County (833) 769-3524
MARIAMA SAMATEH LMFT
Marriage & Family Therapist
4000 HOLLYWOOD BLVD STE 715
HOLLYWOOD, FL 33021
Broward County (833) 769-3524
EMILY Z KLEYMAN PHD
Psychologist (Clinical)
4000 HOLLYWOOD BLVD STE 715
HOLLYWOOD, FL 33021
Broward County (833) 769-3524

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melanie Jacocks's NPI number?

The NPI number for Melanie Jacocks is 1114850617. It was assigned to this individual provider in the NPPES registry on June 4, 2026.

Where is Melanie Jacocks located?

Melanie Jacocks practices at 4000 Hollywood Blvd Ste 715, Hollywood, FL 33021. The listed phone number is (833) 769-3524.

What is Melanie Jacocks's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Melanie Jacocks was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.