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

Jacquelyn Norris, MA

Individual provider Counselor · NPI 1437385622

Jacquelyn Norris, MA is a Clinical Psychologist in Atascadero, California. Qualified in 2015, 11 years ago. Practices with Sud Specialty Group - Ca, a 499-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2009
Specialties on file
3
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

10333 El Camino Real
Atascadero, CA 93422-5808
Phone: (805) 468-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 29569 (CA)
Counselor Taxonomy 101Y00000X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1437385622
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA
Sole proprietorNo
NPI enumeratedJune 2, 2009
Last updated in NPPESJune 16, 2022
Certification dateJune 16, 2022
Mailing address10333 El Camino Real, Atascadero, CA 93422-5808

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Sud Specialty Group - Ca — 499 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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