Keri Lyn Jakubowski

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

589 Stafford Ave Unit 4
Bristol, CT 06010-4654

Phone

(262) 309-7359

NPI assigned

Nov 8, 2017

Last updated

Jan 19, 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

Other names 1

• Keri Jakubowski Former name

Medicare fee-for-service enrollment

Enrolled in CT

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

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: keri.jakubowski.p1@direct.wheelerclinic.nextgenshare.com

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.

• Guided Solutions Counseling Services

  • Professional Counselor
  • Bristol, CT
  • NPI 1255090718
  NPD
• Guided Solutions Counseling Services LLC

  • Mental Health Counselor
  • Bristol, CT
  • NPI 1154080612
  NPD

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1275046633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "589 STAFFORD AVE UNIT 4",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060104654",
            "telephone_number": "262-309-7359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "589 STAFFORD AVE UNIT 4",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060104654",
            "telephone_number": "262-309-7359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAKUBOWSKI",
        "first_name": "KERI LYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-08",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERI",
            "last_name": "JAKUBOWSKI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Muhammad Danish Iqbal, PT
• Jessinet Marie Irizarry
• Gabriela Isak
• Lucendia Isler
• Bridgette Jackson, LMFT
• Alyssa Ann Jamele, LPC-A
• Jamie Potter LCSW LLC
• Chelsea Lynn Japs, FNP
• Nicholas Japs, DPT
• Jennifer Gadalinski LCSW LLC

• Counselor in Bristol, CT
• Providers in Bristol, CT by specialty
• Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.