Kathryn Ann Jacoby

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

10300 Brookridge Village Blvd
Louisville, KY 40291-4474

Phone

(502) 785-4322

NPI assigned

Aug 18, 2021

Last updated

Aug 18, 2021By the provider in NPPES

Sex

Female

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 KY

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

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brock Family Therapy Center Inc.

  • Adult Mental Health Clinic/Center
  • Louisville, KY
  • NPI 1609250992
  Medicare reassignment NPD

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1245906346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 LUCIA AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041326",
            "telephone_number": "859-707-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 BROOKRIDGE VILLAGE BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402914474",
            "telephone_number": "502-785-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBY",
        "first_name": "KATHRYN",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Clinton Jacobs, MD
• Sandra Sue Jacobs, APRN
• Matthew James Jacobsen, PT
• Emily Rebecca Jacobson, DNP
• Peri Jean Jacobson, PT
• Jennifer B. Jacques, DC,JD,LLM
• Thomas Vincent Jacques, D.C.
• Parth Jadav
• Jade's Counseling Services LLC
• Jade's Helping Hands

• Social Worker in Louisville, KY
• Providers in Louisville, KY by specialty
• Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.