Active NPI
Michelle L Jacobs, LPC
- Adult Psychiatric/Mental Health Registered Nurse
- Columbus, OH
National Provider Identifier
1033459649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- RN.518330
- Practice address
- 1301 N High St
Columbus, OH 43201-2460 - Phone
- (614) 299-6600
- NPI assigned
- Feb 19, 2013
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C.2204418 | OH | |
| Registered Nurse | 163W00000X | RN.518330 | OH | |
| Licensed Practical Nurse | 164W00000X | PN 95769 | OH | |
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | RN.518330 | OH | Primary |
Addresses
Primary practice location
1301 N High St
Columbus, OH 43201-2460
Mailing address
1301 N High St
Columbus, OH 43201-2460
Phone (614) 374-8402
Other practice location 1
944 Tradewind Dr
Westerville, OH 43081-4715
Phone (614) 374-8402
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.2204418 | OH | MD | Mental Health Counselor |
| RN.518330 | OH | MD | Registered Nurse |
| PN 95769 | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676505600000",
"number": "1033459649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 N HIGH ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432012460",
"telephone_number": "614-374-8402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 N HIGH ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432012460",
"telephone_number": "614-299-6600"
}
],
"practiceLocations": [
{
"address_1": "944 Tradewind Dr",
"address_purpose": "LOCATION",
"city": "Westerville",
"state": "OH",
"postal_code": "430814715",
"country_code": "US",
"telephone_number": "614-374-8402",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACOBS",
"first_name": "MICHELLE",
"middle_name": "L",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-19",
"last_updated": "2023-02-16",
"certification_date": "2023-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "C.2204418",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.518330",
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "PN 95769",
"primary": false
},
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "OH",
"license": "RN.518330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.