Individual provider Active NPI

Richard M Jacobsen

  • Clinical Social Worker
  • Cortez, CO
National Provider Identifier
1306174156
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09923680 Issued in CO
Practice address
691 E Empire St
Cortez, CO 81321-2802
Phone
(970) 565-7946
Fax
(970) 565-9005
NPI assigned
Dec 4, 2009
Sex
Male
Sole proprietor
No

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Colorado Mental Health Center Inc 67 clinicians

Practice addresses (Care Compare)

1970 E 3Rd Ave
Lowr Level
Durango, CO 81301-5049
Phone (970) 335-2288

300 N Cascade Ave
Suite a
Montrose, CO 81401-3537
Phone (970) 252-3203

495 W 4TH St
Dove Creek, CO 81324-4900
Phone (970) 677-2291

52 Village Dr
Pagosa Springs, CO 81147-8368
Phone (970) 264-2104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20141222001287 CO Practitioner - Clinical Social Worker 6507189602 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ACB6993COMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Colorado Mental Health Center, Inc CurrentSince Oct 26, 2014 Accepting new patients
Southwest Colorado Mental Health Center Inc CurrentSince Oct 26, 2014 Accepting new patients
Southwest Colorado Mental Health Center, Inc Past Accepting new patients
Southwest Colorado Mental Health Center, Inc Past Accepting new patients

Locations

691 E Empire St
Cortez, CO 81321
Phone (970) 335-2232

495 W 4th St
Dove Creek, CO 81324
Phone (970) 677-2291

281 Sawyer Dr
Ste 100
Durango, CO 81303
Phone (970) 259-2162

150 Mercury Village Dr
Durango, CO 81301
Phone (970) 335-2342

1970 E 3rd Ave
Ste 1
Durango, CO 81301
Phone (970) 335-2288

300 N Cascade Ave
Ste A
Montrose, CO 81401
Phone (970) 252-3203

Interoperability endpoints

  • Direct secure messaging: richard.jacobsen.p1@direct.ahs.nextgenshare.com

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACB6993 CO
Clinical Social Worker 1041C0700X CSW.09923680 CO Primary

Addresses

NPPES NPI Registry

Primary practice location

691 E Empire St
Cortez, CO 81321-2802

Mailing address

150 Mercury Village Dr
Durango, CO 81301-8955

Other practice location 1

281 Sawyer Dr
Suite 100
Durango, CO 81303-3409
Phone (970) 259-2162

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 9, 2026.

{
    "created_epoch": "1259884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1306174156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MERCURY VILLAGE DR",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813018955",
            "fax_number": "970-335-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 E EMPIRE ST",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813212802",
            "telephone_number": "970-565-7946",
            "fax_number": "970-565-9005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "281 Sawyer Dr",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Durango",
            "state": "CO",
            "postal_code": "813033409",
            "country_code": "US",
            "telephone_number": "970-259-2162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBSEN",
        "first_name": "RICHARD",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-04",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACB6993",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09923680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortez, CO

Sources for this page

Verify at the official NPI Registry.