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CARRIE JACOBY MFTI
NPI 1609241165
Marriage & Family Therapist in Los Angeles, CA

Active since December 09, 2015Opted out of Medicare · through Jan 1, 2028
5220 W WASHINGTON BLVD, SUITE 101, LOS ANGELES, CA 90016(323) 933-9186(323) 933-7146 Get Directions Write a Review

NPPES record last updated: September 23, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 23, 2016, Dec 9, 2015 (2 updates tracked since 2015).

About Carrie Jacoby Mfti NPPES

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

CARRIE JACOBY MFTI (NPI 1609241165) is an individual marriage & family therapist in Los Angeles, California, licensed in California (IMF87708) and active in the NPI registry since December 2015. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1609241165
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameCARRIE JACOBYCredential: MFTI
Location Address5220 W WASHINGTON BLVD, SUITE 101Los Angeles, CA 90016
Mailing Address5220 W Washington Blvd, Suite 101Los Angeles, CA 90016-1331 · (323) 933-9186 · Fax (323) 933-7146
Phone(323) 933-9186
Fax(323) 933-7146
Sole ProprietorNo
Enumeration DateDecember 9, 2015
Last NPPES UpdateSeptember 23, 20162 updates tracked since enumeration
✔ NPI 1609241165 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 CA · IMF87708
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.
5220 W WASHINGTON BLVD, Los Angeles, CA 90016
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Carrie Jacoby Mfti has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

MISS AMANDA COWAN
Case Manager/Care Coordinator
5220 W WASHINGTON BLVD
LOS ANGELES, CA 90016
Los Angeles County (310) 314-6200
CARMEN STANFORD
Counselor (Addiction (Substance Use Disorder))
5220 W WASHINGTON BLVD
LOS ANGELES, CA 90016
Los Angeles County (323) 983-9186
SARAH WEBSTER
Counselor (Addiction (Substance Use Disorder))
5220 W WASHINGTON BLVD, SUITE 101
LOS ANGELES, CA 90016
Los Angeles County (323) 933-9186
SHAW DDS DENTAL CORPORATION
Preferred Provider Organization
5220 W WASHINGTON BLVD, 103
LOS ANGELES, CA 90016
Los Angeles County (323) 933-5641
LONNIE BERNARD HOGAN
Counselor (Addiction (Substance Use Disorder))
5220 W WASHINGTON BLVD
LOS ANGELES, CA 90016
Los Angeles County (323) 287-2023
DOMINGO REVERON
Counselor (Addiction (Substance Use Disorder))
5220 W WASHINGTON BLVD, SUITE 101
LOS ANGELES, CA 90016
Los Angeles County (323) 933-9186
DR. ROBERT ADAMS DDS
Dentist (General Practice)
5220 W WASHINGTON BLVD, SUITE 103
LOS ANGELES, CA 90016
Los Angeles County (323) 933-5641
CLARE MATRIX
Clinic/Center (Rehabilitation, Substance Use Disorder)
5220 W WASHINGTON BLVD, SUITE 101, 104
LOS ANGELES, CA 90016
Los Angeles County (323) 933-9186

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 Carrie Jacoby's NPI number?

The NPI number for Carrie Jacoby is 1609241165. It was assigned to this individual provider in the NPPES registry on December 9, 2015.

Where is Carrie Jacoby located?

Carrie Jacoby practices at 5220 W Washington Blvd Suite 101, Los Angeles, CA 90016. The listed phone number is (323) 933-9186.

What is Carrie Jacoby's specialty?

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

Is Carrie Jacoby enrolled in Medicare?

No. Carrie Jacoby has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Carrie Jacoby was last updated on September 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.