Teresa Lynn Jacobson, MSW, LSW, CAPSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

129216-121 Issued in WI

Practice address

124 Grayside Ave
Mauston, WI 53948-1913

Phone

(608) 847-7575

Fax

(608) 847-3096

NPI assigned

Aug 14, 2026

Last updated

Aug 14, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Pine Valley Integrated Services LLC

  • Community/Behavioral Health Agency
  • Mauston, WI
  • NPI 1013375104
  NPD (past)
• Pine Valley Residential Services

  • Mental Illness Community Based Residential Treatment Facility
  • Mauston, WI
  • NPI 1891126751
  NPD (past)

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

{
    "created_epoch": "1786665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1013822048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E9371 PARTRIDGE DR",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539599079",
            "telephone_number": "608-847-7575",
            "fax_number": "608-847-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 GRAYSIDE AVE",
            "city": "MAUSTON",
            "state": "WI",
            "postal_code": "539481913",
            "telephone_number": "608-847-7575",
            "fax_number": "608-847-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "TERESA",
        "middle_name": "LYNN",
        "credential": "MSW, LSW, CAPSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-14",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "129216-121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Holig, RDN, CD
• Alyssa Holzberger
• John William Patrick Horan, M.D.
• Bradley Jason Ingraham, PA
• Inside/Out Clinical Psychology Services, LLC
• Susan Joy Jensen, SW
• Bobbi Jo Jewison
• Lynne R Jindrick, SAC
• John W. Schaefer, O.D.
• Elizabeth Johnson

• Mental Health Counselor in Mauston, WI
• Providers in Mauston, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.