Jennifer Hackney | Santa Monica, CA • PECOS Search

Jennifer Hackney

Marriage & Family Therapist

Behavioral Health & Social Service Providers

1111 California Ave Apt 2, Santa Monica, CA 90403-4168

PECOS Enrollment

Based on the most recent information from CMS, provider Jennifer Hackney does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1033932017
Provider Type
Individual
Full Name
Hackney, Jennifer
Credential
LMFT

Gender
Female
Sole Proprietor
Yes
Enumeration Date
11/6/2024
Last Updated
11/6/2024

Contact Information

Practice Location

1111 California Ave Apt 2, Santa Monica, CA 90403-4168

Unlisted Fax

Mailing Location

401 Wilshire Blvd Fl 12, Santa Monica, CA 90401-1456

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License 150647 California