Jennifer Sobol, LMHC, LPC, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

010051 Issued in NY

Practice address

9780 Woodriff Cir
Leland, NC 28451-4402

Phone

(910) 800-0627

NPI assigned

May 1, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

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 2

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.

• MCCD New Jersey Psychiatry Services LLC

  • Psychiatry Physician
  • Hampton, NJ
  • NPI 1023729530
  Medicare reassignment NPD
• MCCD Psychiatry Services PLLC

  • Psychiatry Physician
  • New York, NY
  • NPI 1033750823
  Medicare reassignment NPD
• MCCD FL Psychiatry Services PA

  • Psychiatry Physician
  • Jacksonville, FL
  • NPI 1659003457
  NPD
• Bridge Back to Life Center, Inc.

  • Clinical Social Worker
  • Brooklyn, NY
  • NPI 1184041998
  NPD (past)
• Bridge Back to Life Center, Inc.

  • Multi-Specialty Clinic/Center
  • Bethpage, NY
  • NPI 1518918101

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1164043071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9780 WOODRIFF CIR",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284514402",
            "telephone_number": "910-800-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9780 WOODRIFF CIR",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284514402",
            "telephone_number": "910-800-0627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBOL",
        "first_name": "JENNIFER",
        "credential": "LMHC, LPC, LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-01",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C8723",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "010051",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00938700",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "20840",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cleo Herbert Smith Jr., O.D.
• Zariah Smith
• Chad Allen Snow, PA
• Arrian Baker Snowten, FNP
• Sophia Sober
• Southeastern Healthcare Centers PC
• Southeastern Psychiatric Providers, LLC
• Heidi B Stewart, LCSW
• Michelle Rose Stine, PT
• Strategic Physicians LLC

• Mental Health Counselor in Leland, NC
• Providers in Leland, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.