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 last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: July 19, 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
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

Other Providers at the Same Location NPPES 4

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

Psychologist (Clinical)
4000 HOLLYWOOD BLVD STE 715
HOLLYWOOD, FL 33021
Marriage & Family Therapist
4000 HOLLYWOOD BLVD STE 715
HOLLYWOOD, FL 33021
Social Worker (Clinical)
4000 HOLLYWOOD BLVD STE 715
HOLLYWOOD, FL 33021
Social Worker (Clinical)
4000 HOLLYWOOD BLVD STE 715
HOLLYWOOD, FL 33021

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114850617, enumerated as an "individual" on June 04, 2026.

The provider is located at 4000 HOLLYWOOD BLVD STE 715 HOLLYWOOD, FL 33021 and the phone number is (833) 769-3524.

Marriage & Family Therapist with taxonomy code 106H00000X.