Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jaclyn Long, MFT

Individual provider Marriage & Family Therapist · NPI 1871065961

Jaclyn Long, MFT is a Marriage and Family Therapist in Los Altos, California. Qualified in 2004, 22 years ago. Accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
22
Licensed in
CA
In the registry since
2018
What do these letters mean?
MFT — Marriage and Family Therapist
A therapist who treats couples and families.

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Practice location Address checks out

851 Fremont Ave
Los Altos, CA 94024-5698
Phone: (650) 297-3400
Fax: (650) 897-1005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 47100 (CA)

Record details

NPI number1871065961
Entity typeIndividual (Type 1)
GenderFemale
Credentials MFT
Sole proprietorNo
NPI enumeratedDecember 30, 2018
Last updated in NPPESDecember 3, 2023
Certification dateDecember 3, 2023
Mailing addressPo Box 3156, Half Moon Bay, CA 94019-3156

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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