Active NPI
Jami Lynn Jacobson, LMHC
- Mental Health Counselor
- Brooklyn, NY
National Provider Identifier
1326788753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 012191-01
- Practice address
- 1517 Dekalb Ave Apt 3R
Brooklyn, NY 11237-3637 - Phone
- (406) 212-0767
- NPI assigned
- Apr 1, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 012191-01 | NY | Primary |
Addresses
Primary practice location
1517 Dekalb Ave Apt 3R
Brooklyn, NY 11237-3637
Mailing address
1517 Dekalb Ave Apt 3R
Brooklyn, NY 11237-3637
Phone (406) 212-0767
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012191-01 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCCD Psychiatry Services PLLC | Current | Accepting new patients | |
| MCCD FL Psychiatry Services PA | Current | Accepting new patients |
Locations
1301 Riverplace Blvd
Jacksonville, FL 32207
1301 Riverplace Blvd
Ste 800
Jacksonville, FL 32207
Phone (904) 567-6040
109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648771200000",
"number": "1326788753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1517 DEKALB AVE APT 3R",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112373637",
"telephone_number": "406-212-0767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1517 DEKALB AVE APT 3R",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112373637",
"telephone_number": "406-212-0767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBSON",
"first_name": "JAMI",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-01",
"last_updated": "2022-04-01",
"certification_date": "2022-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "012191-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; 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.