JACKSON J SPENCER M.S.
NPI 1831590884
Marriage & Family Therapist in Fresno, CA

Q: What is Jackson Spencer's NPI number?

The NPI number for Jackson Spencer is 1831590884. It was assigned to this individual provider in the NPPES registry on September 9, 2014.

Q: What is Jackson Spencer'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 Jackson Spencer was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 09, 2014PECOS Enrolled

5740 N PALM AVE STE 101, FRESNO, CA 93704(559) 547-0907(559) 705-1921 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 3, 2026, Mar 1, 2021, Jul 1, 2019 and 1 more (4 updates tracked since 2018).

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About Jackson J Spencer M.s. NPPES

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

JACKSON J SPENCER M.S. (NPI 1831590884) is an individual marriage & family therapist in Fresno, California, licensed in California (110577) and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831590884

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameJACKSON J SPENCERCredential: M.S.

Location Address5740 N PALM AVE STE 101Fresno, CA 93704-1800

Mailing Address5740 N Palm Ave Ste 101Fresno, CA 93704-1800 · (559) 547-0907 · Fax (559) 705-1921

Phone(559) 547-0907

Fax(559) 705-1921

Sole ProprietorNo

Enumeration DateSeptember 9, 2014

Last NPPES UpdateJune 3, 20264 updates tracked since enumeration

NPPES CertifiedJune 3, 2026

✔ NPI 1831590884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Licenses✔ Licensed in CA · 110577✔ Licensed in CA · 81152

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 · License 110577 (CA)

5740 N PALM AVE STE 101, Fresno, CA 93704

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jackson J Spencer M.s. 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 7

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

DAYANA GALINDO

Marriage & Family Therapist