Cindy Renee Jacobs, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LCP 817 Issued in KS

Practice address

2101 US Highway 50 Byp
Dodge City, KS 67801-2230

Phone

(620) 227-8566

Fax

(620) 225-5824

NPI assigned

Jan 18, 2008

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

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1997

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• CRJ Counseling, LLC

  • Community/Behavioral Health Agency
  • Dodge City, KS
  • NPI 1902292469
  Medicare reassignment NPD Authorized official
• Compass Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Garden City, KS
  • NPI 1922058510
  NPD (past)

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200614400000",
    "number": "1114103223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 US HIGHWAY 50 BYP",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678012230",
            "telephone_number": "620-227-8566",
            "fax_number": "620-225-5824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 US HIGHWAY 50 BYP",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678012230",
            "telephone_number": "620-227-8566",
            "fax_number": "620-225-5824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "CINDY",
        "middle_name": "RENEE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-18",
        "last_updated": "2008-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "LCP 817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Rose Indiek, LMSW
• Devin Rochelle Isenbart, PBT
• Issara I. Ayuthia, MD
• J & J Medical Transportation
• J.L.H All Services LLC
• Matthias Jenkins
• John Vrtiska MD PA
• Jamisha Nicole Johnson, CPTA
• Bruce M Johnston, DDS
• Jennifer C Jones, ATC

• Professional Counselor in Dodge City, KS
• Providers in Dodge City, KS by specialty
• Professional Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.