Christopher Richard Jakub Sr., LPCC, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH19081 Issued in FL

Practice address

303 NE 3Rd Ave
Cape Coral, FL 33909-2538

Phone

(239) 799-2198

Fax

(239) 354-7234

NPI assigned

Oct 10, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Traveling Therapist LLCGroup PAC ID 2769723402, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• The Traveling Therapist LLC

  • Mental Health Counselor
  • Cape Coral, FL
  • NPI 1699244640
  Medicare reassignment Care Compare group NPD
• Calm Waters Counseling Group

  • Mental Health Counselor
  • Fort Myers, FL
  • NPI 1871326470
  NPD (past)

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1306311931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 NE 3RD AVE STE 8",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339092538",
            "telephone_number": "239-799-2198",
            "fax_number": "239-354-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 NE 3RD AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339092538",
            "telephone_number": "239-799-2198",
            "fax_number": "239-354-7234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAKUB",
        "first_name": "CHRISTOPHER",
        "middle_name": "RICHARD",
        "name_suffix": "Sr.",
        "credential": "LPCC, LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-10",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E2001805",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH19081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen M Jacobsen
• Ronald Irving Jacoby, M.D.
• Lashay Jacques
• Angela L Jagers
• Camille Natasha Jagroop, PHARMD
• Gabriel Jalo
• James Falduti LLC
• Avia Yafa James, LPC
• Gabrielle Anne James
• Renata James

• Mental Health Counselor in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.