Active NPI
Therese Jacobs-Stewart, MA, LP
- Counseling Psychologist
- Saint Paul, MN
National Provider Identifier
1013122837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- LP0906
- Practice address
- 2046 Saint Clair Ave
Saint Paul, MN 55105-1650 - Phone
- (651) 225-1443
- NPI assigned
- May 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | LP0906 | MN | Primary |
Addresses
Primary practice location
2046 Saint Clair Ave
Saint Paul, MN 55105-1650
Mailing address
2046 Saint Clair Ave
Saint Paul, MN 55105-1650
Phone (651) 225-1443
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP0906 | MN | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322611200000",
"number": "1013122837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2046 SAINT CLAIR AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551051650",
"telephone_number": "651-225-1443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2046 SAINT CLAIR AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551051650",
"telephone_number": "651-225-1443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS-STEWART",
"first_name": "THERESE",
"credential": "MA, LP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-14",
"last_updated": "2011-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MN",
"license": "LP0906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.