Holistic Mental Health PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

HOLISTIC MENTAL HEALTH PLLC

Practice address

252 Marie Ave E Ste D-1
West St Paul, MN 55118-2013

Phone

(612) 699-4629

Fax

(612) 213-0601

NPI assigned

Jul 29, 2022

Organization subpart

No

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

Authorized official

Name

Sarah M Jacobs, APRN, CNPNPI 1033459250

Title

Aprn, CNP

Phone

(304) 590-5779

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah Jacobs, APRN, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • West St. Paul, MN
  • NPI 1033459250
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1164158382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 MARIE AVE E STE D-1",
            "city": "WEST ST PAUL",
            "state": "MN",
            "postal_code": "551182013",
            "telephone_number": "612-699-4629",
            "fax_number": "612-213-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 MARIE AVE E STE D-1",
            "city": "WEST ST PAUL",
            "state": "MN",
            "postal_code": "551182013",
            "telephone_number": "612-699-4629",
            "fax_number": "612-213-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC MENTAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-29",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "APRN, CNP",
        "authorized_official_telephone_number": "304-590-5779",
        "authorized_official_credential": "APRN, CNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Hennen, O.D.
• Allyssa Ann Herning, CMT
• Hodan Home Care LLC
• Lisa Hoffman-Konn, PHD
• Rachel Anne Hogan, LICSW
• Lenel House
• Laura Hurley
• Cyrese Ingebrigtsen
• Jody M Jackson
• Sarah Jacobs, APRN, CNP

• Psychiatric/Mental Health Nurse Practitioner in West St Paul, MN
• Providers in West St Paul, MN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.