Active NPI
Janet Elizabeth Jacobson, LISW
- Counselor
- Cedar Rapids, IA
National Provider Identifier
1356571301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 01115
- Practice address
- 819 5TH St SE
Cedar Rapids, IA 52401-2128 - Phone
- (319) 398-3943
- Fax
- (888) 632-7914
- NPI assigned
- Jul 23, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 01115 | IA | Primary |
Addresses
Primary practice location
819 5TH St SE
Cedar Rapids, IA 52401-2128
Mailing address
819 5TH St SE
Cedar Rapids, IA 52401-2128
Phone (319) 398-3943
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01115 | Other | IA | LISW |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01115 | IA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizons, a Family Service Alliance | Past | Accepting new patients | |
| Horizons, a Family Service Alliance | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Cedar Rapids, IA
- NPI 1033291265
-
- Community/Behavioral Health Agency
- Cedar Rapids, IA
- NPI 1376984088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248307200000",
"number": "1356571301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "819 5TH ST SE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524012128",
"telephone_number": "319-398-3943",
"fax_number": "888-632-7914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "819 5TH ST SE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524012128",
"telephone_number": "319-398-3943",
"fax_number": "888-632-7914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBSON",
"first_name": "JANET",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-23",
"last_updated": "2009-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IA",
"license": "01115",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LISW",
"identifier": "01115",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.