Jackie Provencher, AMFT
NPI 1497397939 · Marriage & Family Therapist · Long Beach, CA
Jackie Provencher, AMFT is a Marriage & Family Therapist provider in Long Beach, CA (NPI 1497397939).
Provider details
- NPI number
- 1497397939
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Credential
- AMFT
- Sex
- Female
- Sole proprietor
- No
- License
- 79380 (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
6 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
- 2019-10-16
- Last updated
- 2019-10-16
Frequently asked questions
- What is Jackie Provencher's NPI number?
- Jackie Provencher's National Provider Identifier (NPI) is 1497397939, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackie Provencher's specialty?
- Jackie Provencher is listed in the NPPES registry with a primary specialty of Marriage & Family Therapist (Behavioral Health & Social Service Providers).
- Where is Jackie Provencher located?
- Jackie Provencher's practice location on file with NPPES is 2211 E Ocean Blvd, Long Beach, CA 90803-2440.
- What is Jackie Provencher's phone number?
- The practice phone number listed in the NPPES registry for Jackie Provencher is (562) 434-4060.
- Is Jackie Provencher's NPI active?
- Yes — Jackie Provencher's NPI (1497397939) is active in the NPPES registry as of the last update on 2019-10-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.