Active NPI
Louise A. Jacobson, NCC
- Counselor
- North Las Vegas, NV
National Provider Identifier
1164592747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 27648
- Practice address
- 4868 Marco Polo St
North Las Vegas, NV 89031-0267 - Phone
- (702) 526-3455
- Fax
- (702) 586-1114
- NPI assigned
- Nov 9, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 27648 | ND | Primary |
Addresses
Primary practice location
4868 Marco Polo St
North Las Vegas, NV 89031-0267
Mailing address
4868 Marco Polo St
North Las Vegas, NV 89031-0267
Phone (702) 526-3455
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 |
|---|---|---|---|
| 27648 | ND | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247702400000",
"number": "1164592747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4868 MARCO POLO ST",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890310267",
"telephone_number": "702-526-3455",
"fax_number": "702-586-1114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4868 MARCO POLO ST",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890310267",
"telephone_number": "702-526-3455",
"fax_number": "702-586-1114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBSON",
"first_name": "LOUISE",
"middle_name": "A.",
"name_prefix": "Mrs.",
"credential": "NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-09",
"last_updated": "2009-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "ND",
"license": "27648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.