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

Q: 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.

Q: What is Tanna Jacob'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 Tanna Jacob was last updated on April 8, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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: July 26, 2026.

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

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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, and ordering and referring status from the CMS PECOS system.

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.

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