Organization Active NPI

Jacobson Counseling, Health & Wellness Consulting, LLC

  • Professional Counselor
  • Georgetown, KY
National Provider Identifier
1043835929
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
JACOBSON COUNSELING, HEALTH & WELLNESS CONSULTING, LLC
Practice address
124 Hickory Grove CT
Georgetown, KY 40324-2177
Phone
(513) 206-3026
Fax
(513) 620-5642
NPI assigned
Jun 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Authorized official

Name
Teresa Jacobson, DBH, LPCC-SNPI 1033665716
Title
Principle Owner
Phone
(513) 206-3026

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

124 Hickory Grove CT
Georgetown, KY 40324-2177

Mailing address

120 Market Place Cir Ste C-182
Georgetown, KY 40324-7205
Phone (513) 206-3026

Other names 1

  • Stepping Toward Serenity Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240329001742 OH Part B Supplier - Clinic/Group Practice 1355789108 Receives reassigned benefits from 1 practitioner
Practice locations: Milford, OH
O20240722002789 KY Part B Supplier - Clinic/Group Practice 1355789108 Receives reassigned benefits from 1 practitioner
Practice locations: Georgetown, KY

National Provider Directory

National Provider Directory

Locations

120 Market Place Cir
Ste C182
Georgetown, KY 40324

1081 State Route 28
Ste 180
Milford, OH 45150

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1043835929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MARKET PLACE CIR STE C-182",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403247205",
            "telephone_number": "513-206-3026",
            "fax_number": "513-620-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 HICKORY GROVE CT",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403242177",
            "telephone_number": "513-206-3026",
            "fax_number": "513-620-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOBSON COUNSELING, HEALTH & WELLNESS CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-16",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "PRINCIPLE OWNER",
        "authorized_official_telephone_number": "513-206-3026",
        "authorized_official_credential": "DBH, LPCC-S"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stepping Toward Serenity",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stepping Toward Serenity",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Georgetown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.