JACIE MARIE WILCOCK M.S.
NPI 1992047369
Marriage & Family Therapist in San Diego, CA

Active since March 22, 2013Opted out of Medicare · through Jan 1, 2028
10620 TREENA ST STE 230, SAN DIEGO, CA 92131(858) 252-5150(858) 999-2537 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 25, 2026, Dec 29, 2021 (2 updates tracked since 2021).

About Jacie Marie Wilcock M.s. NPPES

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

JACIE MARIE WILCOCK M.S. (NPI 1992047369) is an individual marriage & family therapist in San Diego, California, licensed in California (75768) and active in the NPI registry since March 2013. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1992047369
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJACIE MARIE WILCOCKCredential: M.S.
Location Address10620 TREENA ST STE 230San Diego, CA 92131-1140
Mailing Address10620 Treena St Ste 230San Diego, CA 92131-1140 · (858) 252-5150 · Fax (858) 999-2537
Fax(858) 999-2537
Sole ProprietorNo
Enumeration DateMarch 22, 2013
Last NPPES UpdateMarch 25, 20262 updates tracked since enumeration
NPPES CertifiedMarch 25, 2026
NPI 1992047369 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 · 75768
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.
10620 TREENA ST STE 230, San Diego, CA 92131

Other Identifiers 1

Other1841148194CA · Nppes

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Jacie Marie Wilcock M.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

Marriage & Family Therapist
10620 TREENA ST STE 230
SAN DIEGO, CA 92131
Psychologist (Clinical)
10620 TREENA ST STE 230
SAN DIEGO, CA 92131
In Home Supportive Care
10620 TREENA ST STE 230
SAN DIEGO, CA 92131
Nutritionist (Nutrition, Education)
10620 TREENA ST STE 230
SAN DIEGO, CA 92131
Counselor
10620 TREENA ST STE 230
SAN DIEGO, CA 92131
Home Health
10620 TREENA ST STE 230
SAN DIEGO, CA 92131
Counselor
10620 TREENA ST STE 230
SAN DIEGO, CA 92131
Psychologist
10620 TREENA ST STE 230
SAN DIEGO, CA 92131

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 Jacie Wilcock's NPI number?

The NPI number for Jacie Wilcock is 1992047369. It was assigned to this individual provider in the NPPES registry on March 22, 2013.

Where is Jacie Wilcock located?

Jacie Wilcock practices at 10620 Treena St Ste 230, San Diego, CA 92131. The listed phone number is (858) 252-5150.

What is Jacie Wilcock's specialty?

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

Is Jacie Wilcock enrolled in Medicare?

No. Jacie Wilcock has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jacie Wilcock was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.