JACOB SIMON
NPI 1194396770
Marriage & Family Therapist in San Rafael, CA

Q: What is Jacob Simon's NPI number?

The NPI number for Jacob Simon is 1194396770. It was assigned to this individual provider in the NPPES registry on July 6, 2021.

Q: What is Jacob Simon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacob Simon was last updated on July 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.

Active since July 06, 2021

1 SAINT VINCENTS DR, SAN RAFAEL, CA 94903(415) 507-2000 Get Directions Write a Review

NPPES record last updated: July 6, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jacob Simon NPPES

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

JACOB SIMON (NPI 1194396770) is an individual marriage & family therapist in San Rafael, California and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1194396770

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameJACOB SIMON

Location Address1 SAINT VINCENTS DRSan Rafael, CA 94903-1504

Mailing Address1 Saint Vincents DrSan Rafael, CA 94903-1504 · (415) 507-2000

Phone(415) 507-2000

Sole ProprietorYes

Enumeration DateJuly 6, 2021

NPPES CertifiedJuly 6, 2021

✔ NPI 1194396770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1 SAINT VINCENTS DR, San Rafael, CA 94903

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Other Providers at the Same Location NPPES 20

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

MARTINA BAKEBURA BAKILANA

Marriage & Family Therapist