Active NPI
Rebecca J Jacobson
- Mental Health Counselor
- Las Vegas, NV
National Provider Identifier
1114600194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- M-10818
- Practice address
- 5426 Vegas Dr
Las Vegas, NV 89108-2403 - Phone
- (702) 806-5268
- NPI assigned
- Aug 8, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | M-10818 | NV | Primary |
Addresses
Primary practice location
5426 Vegas Dr
Las Vegas, NV 89108-2403
Mailing address
1545 Wigwam Pkwy Apt 736
Henderson, NV 89074-8272
Phone (702) 682-0123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-10818 | NV | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691452800000",
"number": "1114600194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1545 WIGWAM PKWY APT 736",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890748272",
"telephone_number": "702-682-0123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5426 VEGAS DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891082403",
"telephone_number": "702-806-5268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBSON",
"first_name": "REBECCA",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-08",
"last_updated": "2023-08-08",
"certification_date": "2023-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NV",
"license": "M-10818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.