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TANNA MARIE JACOB MA MFTA
NPI 1902350390
Marriage & Family Therapist in Fullerton, CA

Active since August 15, 2016PECOS Enrolled
801 E CHAPMAN AVE, #203, FULLERTON, CA 92831(714) 680-9000(714) 680-8233 Get Directions Write a Review

NPPES record last updated: April 8, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 8, 2019, Feb 21, 2019, Aug 15, 2016 (3 updates tracked since 2016).

About Tanna Marie Jacob Ma Mfta NPPES

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

TANNA MARIE JACOB MA MFTA (NPI 1902350390) is an individual marriage & family therapist in Fullerton, California, licensed in California (112743) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902350390
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameTANNA MARIE JACOBCredential: MA MFTA
Location Address801 E CHAPMAN AVE, #203Fullerton, CA 92831-3839
Mailing AddressPo Box 919Fullerton, CA 92836-0919 · (714) 680-9000 · Fax (714) 680-8233
Phone(714) 680-9000
Fax(714) 680-8233
Sole ProprietorYes
Enumeration DateAugust 15, 2016
Last NPPES UpdateApril 8, 20193 updates tracked since enumeration
✔ NPI 1902350390 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
License✔ Licensed in CA · 112743
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 ListedRehabilitation PractitionerTaxonomy 225400000X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
801 E CHAPMAN AVE, Fullerton, CA 92831
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tanna Marie Jacob Ma Mfta 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Tanna Jacob reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cyti Health PC
91 mi
Mental Health (Including Community Mental Health Center)
402 W BROADWAY STE 400
San Diego, CA 92101
  • Reassigned Medicare billing, California enrollment
  • 545 clinicians in this Medicare group
NPI 1679172290 (866) 478-3978
Lumen Health And Psychological Services Inc.
384 mi
Clinical
8421 AUBURN BLVD, SUITE 110
Citrus Heights, CA 95610
  • Reassigned Medicare billing, California enrollment
  • 39 clinicians in this Medicare group
NPI 1366978843 (916) 531-8359

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

CHI HUNG MIKE CHUNG
Rehabilitation Practitioner
801 E CHAPMAN AVE
FULLERTON, CA 92831
Orange County (714) 680-9097
JENNY RIVAS
Counselor (Mental Health)
801 E CHAPMAN AVE
FULLERTON, CA 92831
Orange County (714) 680-9000
MS. LUPITA PEARL COLBERT BCBA, LMFT
Marriage & Family Therapist
801 E CHAPMAN AVE, #203
FULLERTON, CA 92831
Orange County (714) 680-8268
MRS. ALEJANDRA ALVAREZ
Student in an Organized Health Care Education/Training Program
801 E CHAPMAN AVE
FULLERTON, CA 92831
Orange County (714) 680-9000
STEPHANIE JASMEEN PADILLA
Case Manager/Care Coordinator
801 E CHAPMAN AVE
FULLERTON, CA 92831
Orange County (714) 680-9000
KARLA OCHOA
Rehabilitation Practitioner
801 E CHAPMAN AVE, SUITE 203
FULLERTON, CA 92831
Orange County (714) 680-9000
ISABEL C ALATORRE
Case Manager/Care Coordinator
801 E CHAPMAN AVE
FULLERTON, CA 92831
Orange County (714) 680-8268
JAMES MACKEY IV
Marriage & Family Therapist
801 E CHAPMAN AVE
FULLERTON, CA 92831
Orange County (714) 680-9022

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 Tanna Jacob's NPI number?

The NPI number for Tanna Jacob is 1902350390. It was assigned to this individual provider in the NPPES registry on August 15, 2016.

Where is Tanna Jacob located?

Tanna Jacob practices at 801 E Chapman Ave #203, Fullerton, CA 92831. The listed phone number is (714) 680-9000.

What is Tanna Jacob's specialty?

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

Is Tanna Jacob enrolled in Medicare?

Yes. Tanna Jacob is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tanna Jacob's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tanna Jacob reassigns Medicare benefits to 2 organizations: Cyti Health PC (San Diego, CA) and Lumen Health And Psychological Services Inc. (Citrus Heights, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tanna Jacob's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tanna Jacob was last updated on April 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.