Active NPI
Jacobson Counseling, Health & Wellness Consulting, LLC
- Professional Counselor
- Georgetown, KY
National Provider Identifier
1043835929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Teresa Jacobson, DBH, LPCC-S
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, KY
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
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.