Marilin R Jakubowske, SOCIAL WORKER

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

60460 Issued in TX

Practice address

5424 Rufe Snow Dr Ste 200
North Richland Hills, TX 76180-6685

Phone

(254) 289-2285

Fax

(682) 593-3936

NPI assigned

Jan 6, 2022

Sex

Female

Sole proprietor

Yes

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": "1641427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1093476475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5424 RUFE SNOW DR STE 200",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761806685",
            "telephone_number": "254-289-2285",
            "fax_number": "682-593-3936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5424 RUFE SNOW DR STE 200",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761806685",
            "telephone_number": "254-289-2285",
            "fax_number": "682-593-3936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAKUBOWSKE",
        "first_name": "MARILIN",
        "middle_name": "R",
        "credential": "SOCIAL WORKER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "60460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Beth Jackson, LMFT-ASSOCIATE
• Brentom E. Jackson, LPC
• Daiquri Jackson
• Samantha Jackson, LVN
• Mira Hardevsinh Jadeja, PHARM D
• Jennifer Marie Jarman, LMSW
• JB Counseling & Coaching, PLLC
• Jean Nguyen, O.D. & Associates, P.a.
• Jennifer Thorne PA
• Angela Kay Jester

• Mental Health Counselor in North Richland Hills, TX
• Providers in North Richland Hills, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.