Active NPI
Rebecca R Jacobson, PH.D LPC
- Professional Counselor
- Montgomery, AL
National Provider Identifier
1225363617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2555
- Practice address
- 7085 Sydney Curv
Montgomery, AL 36117-3509 - Phone
- (334) 270-5502
- Fax
- (334) 270-5503
- NPI assigned
- Oct 2, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2555 | AL | |
| Professional Counselor | 101YP2500X | 2555 | AL | Primary |
Addresses
Primary practice location
7085 Sydney Curv
Montgomery, AL 36117-3509
Mailing address
7085 Sydney Curv
Montgomery, AL 36117-3509
Phone (334) 270-5502
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)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560124800000",
"number": "1225363617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7085 SYDNEY CURV",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361173509",
"telephone_number": "334-270-5502",
"fax_number": "334-270-5503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7085 SYDNEY CURV",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361173509",
"telephone_number": "334-270-5502",
"fax_number": "334-270-5503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBSON",
"first_name": "REBECCA",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "PH.D LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-02",
"last_updated": "2019-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AL",
"license": "2555",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "2555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.