Thomas Jacobson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH21727 Issued in FL

Practice address

1003 Alabaster CV
Sanford, FL 32771-3607

Phone

(407) 545-2413

NPI assigned

Apr 9, 2016

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 FL

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eden Wellness Counseling LLCGroup PAC ID 0941704993, 2 clinicians

Practice addresses (Care Compare)

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.

• Eden Wellness Counseling LLC

  • Mental Health Counselor
  • Altamonte Springs, FL
  • NPI 1295549814
  Medicare reassignment Care Compare group NPD
• Family Life Counseling Center

  • Mental Health Counselor
  • Clermont, FL
  • NPI 1033665260
  Medicare reassignment NPD

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

{
    "created_epoch": "1460160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1205290814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "586 BRANTLEY TERRACE WAY UNIT 103",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327140802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 ALABASTER CV",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327713607",
            "telephone_number": "407-545-2413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "586 Brantley Terrace Way",
            "address_2": "UNIT 103",
            "address_purpose": "LOCATION",
            "city": "Altamonte Springs",
            "state": "FL",
            "postal_code": "327140817",
            "country_code": "US",
            "telephone_number": "407-470-2562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "THOMAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-09",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH21727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernadete Jackson
• Deja Jackson
• Kimcheree Jackson
• Taiwan Jackson, LPN
• Christina Jacob, PA-C
• Ram N Jadon, APRN
• Aasiyah Jaffer
• Jenni Jagers, PA-C
• James E Hirsch DC PA
• Priya James

• Mental Health Counselor in Sanford, FL
• Providers in Sanford, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; 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.