Jacob Somers

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0704017262 Issued in VA

Practice address

350 S 4TH St Ste B
Wytheville, VA 24382-2500

Phone

(833) 356-4080

NPI assigned

Jul 15, 2024

Reactivated

Jul 28, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

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.

• Path to Peace Counseling Services

  • Community/Behavioral Health Agency
  • Wytheville, VA
  • NPI 1366337206
  NPD Authorized official

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1316785405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 291943",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372291943",
            "telephone_number": "833-952-0829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S 4TH ST STE B",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243822500",
            "telephone_number": "833-356-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMERS",
        "first_name": "JACOB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-15",
        "last_updated": "2025-07-28",
        "certification_date": "2025-06-11",
        "deactivation_date": "2025-06-11",
        "reactivation_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0704017262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelly Smith, LPC
• Tori Nicole Smith, RBT
• Jill B Snider, FNP
• Madelyn Brooke Snow
• Solace Hospice of Southwest Virginia
• Tabitha Somers
• Quyen C Soulsby, DPM
• Soundz Inc
• Southerncare , Inc.
• Southwestern Virginia Counseling and Psychological Services

• Professional Counselor in Wytheville, VA
• Providers in Wytheville, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.