Judy Lynn Jacobs, PHD

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401012194 Issued in MI

Practice address

43157 Schoenherr Rd
Sterling Heights, MI 48313

Phone

(248) 310-5973

Fax

(248) 731-7388

NPI assigned

Mar 5, 2012

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

Other names 1

• Judy Lynn Ashley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1144594466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41428 GREENSPIRE DR",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480385863",
            "telephone_number": "248-310-5973",
            "fax_number": "248-731-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43157 SCHOENHERR RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "48313",
            "telephone_number": "248-310-5973",
            "fax_number": "248-731-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "JUDY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-05",
        "last_updated": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401012194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDY",
            "last_name": "ASHLEY",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jacob Kalo, M.D., P.C.
• Pius Jacob, PHYSICAL THERAPIST
• Sereena Grace Jacob
• Sherine Susan Jacob
• Eduardo Jacobs
• Samuel Cole Jacobson, OTRL
• Syed Abbas H. Jafri, M.D.
• Edyta Jagustin, P.T.
• Aditi Jaidka, MD
• Raquel Jairal, PTA

• Professional Counselor in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Professional Counselor in Michigan

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