Jacek Wysocki, LMFT
NPI 1104165224 · Marriage & Family Therapist · Los Angeles, CA
Enrolled with Medicare as Practitioner - Marriage and Family Therapist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacek Wysocki, LMFT is a Marriage & Family Therapist provider in Los Angeles, CA (NPI 1104165224).
Provider details
- NPI number
- 1104165224
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Credential
- LMFT
- Sex
- Male
- Sole proprietor
- No
- License
- LMFT101799 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-02-08
- Last updated
- 2023-11-27
- Certified
- 2020-09-08
Frequently asked questions
- What is Jacek Wysocki's NPI number?
- Jacek Wysocki's National Provider Identifier (NPI) is 1104165224, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacek Wysocki's specialty?
- Jacek Wysocki is listed in the NPPES registry with a primary specialty of Marriage & Family Therapist (Behavioral Health & Social Service Providers).
- Where is Jacek Wysocki located?
- Jacek Wysocki's practice location on file with NPPES is 1031 W 34th St Ste 500, Los Angeles, CA 90089-2501.
- What is Jacek Wysocki's phone number?
- The practice phone number listed in the NPPES registry for Jacek Wysocki is (213) 821-6500.
- Does Jacek Wysocki accept Medicare?
- Jacek Wysocki is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacek Wysocki's NPI active?
- Yes — Jacek Wysocki's NPI (1104165224) is active in the NPPES registry as of the last update on 2023-11-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.