Christie Jacobus, LPC-S : RN-BC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

61336 Issued in TX

Practice address

13313 Southwest Fwy Ste 263
Sugar Land, TX 77478-4530

Phone

(713) 446-7699

NPI assigned

Sep 10, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1114532728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 RAINBOW DR # 819",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773991008",
            "telephone_number": "713-446-7699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13313 SOUTHWEST FWY STE 263",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784530",
            "telephone_number": "713-446-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBUS",
        "first_name": "CHRISTIE",
        "credential": "LPC-S : RN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "TX",
            "license": "522023",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "61336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shancy Jacob, D.O.
• Aleyamma J Jacobhose, GNP
• Eugenia V Jacobs, MD
• Zachary Scott Jacobs, PT, DPT
• Chloe Jacobson
• Dip Sureshkumar Jadav, M.D.
• Priti Suresh Jadav, M.D.
• Aman Ali Jafar, MD
• Jonathan Tyler Jaffe, M.D.
• Azul S Jaffer, M.D.

• Professional Counselor in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.