Individual provider Active NPI

Erin Ingrid Jacobs

  • Psychiatric/Mental Health Nurse Practitioner
  • Milford, MI
National Provider Identifier
1346090321
Registry record updated Oct 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704353279 Issued in MI
Practice address
425 W Huron St Ste 130
Milford, MI 48381-2243
Phone
(248) 609-6774
Fax
(248) 243-8873
NPI assigned
Mar 25, 2024
Last updated
Oct 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704353279 MI Primary

Addresses

Primary practice location

425 W Huron St Ste 130
Milford, MI 48381-2243

Mailing address

425 W Huron St Ste 130
Milford, MI 48381-2243
Phone (248) 609-6774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240809001803 MI Practitioner - Nurse Practitioner 9133667033 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Giesken Counseling Services LLCGroup PAC ID 5799035390, 10 clinicians

Practice addresses (Care Compare)

1309 S Linden Rd
Suite C
Flint, MI 48532-3443
Phone (810) 626-5191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Family Clinic South P.C CurrentSince Jul 17, 2024 Accepting new patients
Giesken Counseling Services LLC CurrentSince Jul 31, 2025 Accepting new patients

Locations

8949 Dixie Hwy
Clarkston, MI 48348
Phone (810) 626-5191

1309 S Linden Rd
Ste C
Flint, MI 48532
Phone (810) 626-5191

8285 S Saginaw St
Ste 102
Grand Blanc, MI 48439
Phone (810) 626-5191

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792368000000",
    "number": "1346090321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W HURON ST STE 130",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483812243",
            "telephone_number": "248-609-6774",
            "fax_number": "248-243-8873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W HURON ST STE 130",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483812243",
            "telephone_number": "248-609-6774",
            "fax_number": "248-243-8873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "ERIN",
        "middle_name": "INGRID",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-25",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704353279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, MI

Sources for this page

Verify at the official NPI Registry.