Laura Jacobs LMHC LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

LAURA JACOBS LMHC LLC

Doing business as

Laura Jacobs LMHC LLC

Practice address

3142 Mallard Cove LN
Fort Wayne, IN 46804-2882

Phone

(260) 633-3758

Fax

(260) 366-6558

NPI assigned

Oct 6, 2022

Organization subpart

No

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

Authorized official

Name

Laura Jacobs, LMHC

Title

Owner

Phone

(260) 633-3758

Specialties & licenses 1

Addresses

Other names 1

• Laura Jacobs LMHC LLC Doing business as

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

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665014400000",
    "number": "1336864958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3142 MALLARD COVE LN",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468042882",
            "telephone_number": "260-633-3758",
            "fax_number": "260-366-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3142 MALLARD COVE LN",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468042882",
            "telephone_number": "260-633-3758",
            "fax_number": "260-366-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA JACOBS LMHC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-06",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-633-3758",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laura Jacobs LMHC LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Larissa Laudick
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• Jenna Leigh Laughlin, DO
• Launchpad Foundation, Inc.
• Liece Laurens, PA-C
• Jared Paul Laurent, D.C.
• Laurette C. Robey, MD PC
• Rhonda Lauro
• Brian T Laursen, P.A.

• Mental Health Counselor in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.