Jacob M Bounds, MSW, LGSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

BP00945821 Issued in WV

Practice address

1109 Jefferson Rd Ste C
South Charleston, WV 25309-8815

Phone

(877) 338-2725

NPI assigned

Oct 30, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WV

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

Clinical Social Worker

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Adf Behavioral Health Services, LLCGroup PAC ID 2668993338, 4 clinicians

Devaraj Behavioral Healthcare PLLCGroup PAC ID 9234565649, 3 clinicians

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.

• Devaraj Behavioral Healthcare PLLC

  • Psychiatry Physician
  • Charleston, WV
  • NPI 1093362840

  WV

  Medicare reassignment Care Compare group NPD Authorized official
• Adf Behavioral Health Services, LLC

  • Community/Behavioral Health Agency
  • Oak Hill, WV
  • NPI 1568154615

  WV

  Medicare reassignment Care Compare group NPD
• Generations Health & Wellness, LLC

  • Multi-Specialty Clinic/Center
  • Oak Hill, WV
  • NPI 1295495984

  WV

  Medicare reassignment NPD
• Devaraj Behavioral Healthcare PLLC

  • Community/Behavioral Health Agency
  • Charleston, WV
  • NPI 1356980916
  NPD Authorized official

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1154921799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 STONE RD APT A",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253141881",
            "telephone_number": "304-989-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 JEFFERSON RD STE C",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253098815",
            "telephone_number": "877-338-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUNDS",
        "first_name": "JACOB",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "MSW, LGSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-30",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "SW062015550",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "BP00945821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jacobbounds@dbhwv.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "address_1": "1109 Jefferson Rd Ste C",
            "city": "South Charleston",
            "state": "WV",
            "country_code": "US",
            "postal_code": "253098815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Margaret Boothe
• Nirali Jayantilal Borad, M.D.
• Christina Bostic
• Jasmine Boswell
• Anna Botkins
• Michael M Boustany, MD
• Angela Michelle Bowden, LPN
• Angela Bowe
• Samantha Jo Bowen
• Beth Bowens

• All providers in South Charleston, WV
• Clinical Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.