Kristan Courtiney M Jacobs, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC14622 Issued in MD

Practice address

22 W Pennsylvania Ave Ste 414
Towson, MD 21204-5003

Phone

(443) 377-3605

NPI assigned

Dec 7, 2024

Last updated

Dec 7, 2024By 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

State licenses

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

{
    "created_epoch": "1733529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733529600000",
    "number": "1083420723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 W PENNSYLVANIA AVE STE 414",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212045003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 W PENNSYLVANIA AVE STE 414",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212045003",
            "telephone_number": "443-377-3605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "KRISTAN COURTINEY",
        "middle_name": "M",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-07",
        "last_updated": "2024-12-07",
        "certification_date": "2024-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC14622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juanita Jackson, LCPC
• Jacob Tendler, M.D., P.a.
• Jerilyn Jacob, RPH
• Stephen P Jacob, M.D.
• D'Andrea Leucia Jacobs, PHD
• Sara Jacobson, CRNP
• Tiffany Jacoby
• Leah Jaffee
• Asma Jafri
• Mahmood Jahromi, M.D.

• Mental Health Counselor in Towson, MD
• Providers in Towson, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2024; 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.