Active NPI
Frank Joseph Jacobelli, LCSW
- Mental Health Counselor
- Markleeville, CA
National Provider Identifier
1265562797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LCS 13346
- Practice address
- 75C Diamond Valley Rd
Alpine County Behavioral Health Services
Markleeville, CA 96120 - Phone
- (530) 694-1816
- Fax
- (530) 694-2387
- NPI assigned
- Mar 6, 2007
- Last updated
- Sep 27, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 01886-C | NV | |
| Mental Health Counselor | 101YM0800X | LCS 13346 | CA | Primary |
Addresses
Primary practice location
75C Diamond Valley Rd
Alpine County Behavioral Health Services
Markleeville, CA 96120
Mailing address
820 Mustang LN
Gardnerville, NV 89410
Phone (775) 265-0065
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS 13346 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538006400000",
"number": "1265562797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 MUSTANG LN",
"city": "GARDNERVILLE",
"state": "NV",
"postal_code": "89410",
"telephone_number": "775-265-0065",
"fax_number": "775-265-4024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75C DIAMOND VALLEY RD",
"address_2": "ALPINE COUNTY BEHAVIORAL HEALTH SERVICES",
"city": "MARKLEEVILLE",
"state": "CA",
"postal_code": "96120",
"telephone_number": "530-694-1816",
"fax_number": "530-694-2387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBELLI",
"first_name": "FRANK",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2018-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "01886-C",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "LCS 13346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Markleeville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.