Alexander Jacobsen, MS, LPC-A, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

87196 Issued in TX

Practice address

186 Maple Path PL
The Woodlands, TX 77382-3706

Phone

(936) 900-7376

NPI assigned

Nov 24, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Alex Jacobsen Other name

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Anna Leason LCSW and Associates, PLLC

  • Clinical Social Worker
  • The Woodlands, TX
  • NPI 1447880562
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1637712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637712000000",
    "number": "1013674001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 MAPLE PATH PL",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773823706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 MAPLE PATH PL",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773823706",
            "telephone_number": "936-900-7376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSEN",
        "first_name": "ALEXANDER",
        "credential": "MS, LPC-A, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-24",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "87196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEX",
            "last_name": "JACOBSEN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jack Jones Hearing Centers, Inc. (AudioNova)
• Diane Jackson, FNP-BC, MSN, BSN, RN
• Laura Jackson, CRNA
• Michael Jackson, MD
• William John Jackson, DO
• Alejandro Jaime Villalonga, MD
• Jaimie Kocian LLC
• Mamta Jain, MD
• Marilyn Joy Jamaluddin, LMSW
• James a Field MD PA

• Mental Health Counselor in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.