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

MS. Jan Slack, MFT

Individual provider Marriage & Family Therapist · NPI 1083791271

MS. Jan Slack, MFT is a Marriage and Family Therapist in LA Mesa, California. Qualified in 2003, 23 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
23
Licensed in
CA
In the registry since
2006
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

5480 Baltimore Dr Ste 202
LA Mesa, CA 91942-2020
Phone: (619) 335-5373
Fax: (619) 464-7772
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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 MFC47977 (CA)

Record details

NPI number1083791271
Entity typeIndividual (Type 1)
GenderFemale
Credentials MFT
Sole proprietorYes
NPI enumeratedNovember 1, 2006
Last updated in NPPESJuly 16, 2010
Mailing address5480 Baltimore Dr, Ste. 202, La Mesa, CA 91942-2020

Medicare enrollment

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

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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