Jamie Jakubus, M.A.

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401014500 Issued in MI

Practice address

57224 Tanglewood St
New Haven, MI 48048-2993

Phone

(734) 548-1764

NPI assigned

Oct 17, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Mental Health Counselor

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Richard Kneip PHD PCGroup PAC ID 4880768415, 243 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Richard Kneip, PH.D., P.C.

  • Community/Behavioral Health Agency
  • Clarkston, MI
  • NPI 1679739700
  Medicare reassignment Care Compare group NPD
• Apljak Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Haven, MI
  • NPI 1821650516
  NPD Authorized official

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1164826327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57224 TANGLEWOOD ST",
            "city": "NEW HAVEN",
            "state": "MI",
            "postal_code": "480482993",
            "telephone_number": "734-548-1764",
            "fax_number": "734-548-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57224 TANGLEWOOD ST",
            "city": "NEW HAVEN",
            "state": "MI",
            "postal_code": "480482993",
            "telephone_number": "734-548-1764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAKUBUS",
        "first_name": "JAMIE",
        "name_prefix": "Mr.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-17",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401014500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Hartner, RN
• Ingrid Nicole Nakita Hayes
• Annette Sheadrick Higgins
• Elexis Hoffmann, DDS
• Asif Iqbal, MD
• Ashanni Jennings
• Aline Kalayjian, RD
• Candace Kasper, RD
• Cynthia Kendziuk, RN
• Brandon Sam Khaddor, D.D.S.

• Counselor in New Haven, MI
• Providers in New Haven, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.