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

Q: What is the provider's specialty?

The provider's specialty is Marriage & Family Therapist with taxonomy code 106H00000X.

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: July 19, 2026.

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

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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

Phone(858) 252-5150

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

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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.