KEITH JOHN JACOB
NPI 1780574756
Marriage & Family Therapist in Loma Linda, CA

Active since July 09, 2025
25451 COLE ST APT 3, LOMA LINDA, CA 92354(951) 722-1708 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keith John Jacob NPPES

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

KEITH JOHN JACOB (NPI 1780574756) is an individual marriage & family therapist in Loma Linda, California, licensed in California (155178) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1780574756
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameKEITH JOHN JACOB
Location Address25451 COLE ST APT 3Loma Linda, CA 92354-3183
Mailing Address25925 Barton Rd Unit 948Loma Linda, CA 92354-5645 · (951) 722-1708
Sole ProprietorYes
Enumeration DateJuly 9, 2025
NPPES CertifiedJuly 9, 2025
NPI 1780574756 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 · 155178
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.
25451 COLE ST APT 3, Loma Linda, CA 92354

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 Keith Jacob's NPI number?

The NPI number for Keith Jacob is 1780574756. It was assigned to this individual provider in the NPPES registry on July 9, 2025.

Where is Keith Jacob located?

Keith Jacob practices at 25451 Cole St Apt 3, Loma Linda, CA 92354. The listed phone number is (951) 722-1708.

What is Keith Jacob'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 Keith Jacob was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.