Brian Daniel Jacobs, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701008495 Issued in VA

Practice address

1655 Fort Myer Dr Ste 820
Arlington, VA 22209-3106

Phone

(908) 304-3718

NPI assigned

Jul 22, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567900800000",
    "number": "1194378935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3346 S WAKEFIELD ST APT B1",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222061726",
            "telephone_number": "908-304-3718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 FORT MYER DR STE 820",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222093106",
            "telephone_number": "908-304-3718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8221 Willow Oaks Corporate Dr",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220314512",
            "country_code": "US",
            "telephone_number": "703-207-7730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "BRIAN",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-22",
        "last_updated": "2019-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terrina Jackson
• Annamma J Jacob, M.D.
• Katherine Sessoms Jacobi, LCSW
• Jacobs Chiropractic LLC
• Alana Kerwin Jacobs, PSY.D
• Janie Jacobs
• Tova Jacobs, PH.D.
• Wendy Joy Jacobs, DC
• Irene Jaffe, M.D.
• Dhiraj Jagasia, M.D.

• Professional Counselor in Arlington, VA
• Providers in Arlington, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.