Individual provider Active NPI

Frank Joseph Jacobelli, LCSW

  • Mental Health Counselor
  • Markleeville, CA
National Provider Identifier
1265562797
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCS 13346 Issued in CA
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, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
LCS 13346CAMDMental 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.

Verify at the official NPI Registry.