Coral Jacobson, PLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2021022398 Issued in MO

Practice address

501 S 36TH St Ste 102
Saint Joseph, MO 64506-3067

Phone

(816) 396-6002

NPI assigned

Mar 29, 2016

Last updated

Jul 28, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Drew Fisher Counseling Services LLC

  dba Fisher Counseling Services

  • Professional Counselor
  • Saint Joseph, MO
  • NPI 1437699535
  NPD

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1316300387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 N 155TH ST STE B",
            "city": "BASEHOR",
            "state": "KS",
            "postal_code": "660077100",
            "telephone_number": "913-662-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S 36TH ST STE 102",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063067",
            "telephone_number": "816-396-6002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1106 N 155th St Ste B",
            "address_purpose": "LOCATION",
            "city": "Basehor",
            "state": "KS",
            "postal_code": "660077100",
            "country_code": "US",
            "telephone_number": "913-662-7071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "CORAL",
        "credential": "PLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-29",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2021022398",
            "primary": true
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "KS",
            "license": "2848",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL COUNSELING",
            "identifier": "2021022398",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jarod Jackson
• Kaitlin Jackson
• Shauna R Jackson, APRN, FNP-C
• Jeffry Alan Jacobs, MEDICAL DOCTOR
• Kellen Jacobs, DPT
• James Kline, PC (Kline Women's Health Care)
• Elizabeth James, MD
• Louis David Jamtgaard, M.D.
• Badr Jandali, MD
• Samuel L Jeffers, CRNA

• Professional Counselor in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.