Kimberly Lynn Jacobsen, MA LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LMHC 9428 Issued in FL

Practice address

100 3Rd Ave W Ste 210
Bradenton, FL 34205-8643

Phone

(941) 809-1577

NPI assigned

Apr 28, 2008

Last updated

Mar 23, 2020By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Stepping Stones Counseling of Manatee LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Bradenton, FL
  • NPI 1336776251
  NPD Authorized official

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1346415692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 3RD AVE W STE 210",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058643",
            "telephone_number": "941-809-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 3RD AVE W STE 210",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058643",
            "telephone_number": "941-809-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSEN",
        "first_name": "KIMBERLY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MA LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "LMHC 9428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Leslie Jackson, D.M.D.
• Travis Jackson
• James Paul Jaco, M.ED.
• Jacob Joseph M.D., P.a. (Manatee Orthopaedic and Sports Medicine Clinic)
• Aarcha Mary Jacob, APRN FNP
• Jacqueline C Ekstrom LCSW LLC
• Jason Alexandre Jaffe
• Jay Jaffe
• Erol Jahja, D.O.
• Nikhil Henry Jain, GRADUATING DO

• Mental Health Counselor in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; 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.