TALITA CALAZANS JACKSON MA, LMFT
NPI 1801231618
Marriage & Family Therapist in San Rafael, CA

Q: What is Talita Jackson's NPI number?

The NPI number for Talita Jackson is 1801231618. It was assigned to this individual provider in the NPPES registry on May 7, 2013.

Q: What is Talita Jackson'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 Talita Jackson was last updated on May 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 May 07, 2013PECOS Enrolled

99 MONTECILLO RD, SAN RAFAEL, CA 94903(415) 706-4254 Get Directions Write a Review

NPPES record last updated: May 31, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 8, 2024, Apr 29, 2024, Dec 28, 2021 and 1 more (4 updates tracked since 2019).

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About Talita Calazans Jackson Ma, Lmft NPPES

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

TALITA CALAZANS JACKSON MA, LMFT (NPI 1801231618) is an individual marriage & family therapist in San Rafael, California, licensed in California (94667) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801231618

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameTALITA CALAZANS JACKSONCredential: MA, LMFT

Location Address99 MONTECILLO RDSan Rafael, CA 94903-3308

Mailing Address99 Montecillo RdSan Rafael, CA 94903-3308

Phone(415) 706-4254

Sole ProprietorNo

Enumeration DateMay 7, 2013

Last NPPES UpdateMay 31, 20244 updates tracked since enumeration

NPPES CertifiedMay 31, 2024

✔ NPI 1801231618 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 · 94667

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.

99 MONTECILLO RD, San Rafael, CA 94903

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Other Identifiers 1

Medicaid100230363CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan, Select Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Talita Calazans Jackson Ma, Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

MS. MARTA JUDY FRIEDMAN LCSW, JD

Social Worker (Clinical)