Christy Flannagin Jacob, M.S., LPC, NCC, BCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2542 Issued in AL

Practice address

113 2ND Ave SE
Suite 4
Decatur, AL 35601-2315

Phone

(256) 822-2375

Fax

(256) 822-2375

NPI assigned

Nov 29, 2007

Last updated

Nov 2, 2015By 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 5

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Covenant Counseling and Consulting LLCGroup PAC ID 2769789551, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Covenant Counseling & Consulting LLC

  • Professional Counselor
  • Decatur, AL
  • NPI 1295111557

  Addiction (Substance Use Disorder)

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446422400000",
    "number": "1366624538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 2ND AVE SE",
            "address_2": "SUITE 4",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356012315",
            "telephone_number": "256-822-2375",
            "fax_number": "256-822-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 2ND AVE SE",
            "address_2": "SUITE 4",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356012315",
            "telephone_number": "256-822-2375",
            "fax_number": "256-822-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "CHRISTY",
        "middle_name": "FLANNAGIN",
        "name_prefix": "Ms.",
        "credential": "M.S., LPC, NCC, BCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-29",
        "last_updated": "2015-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": "2542",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AL",
            "license": "2542",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "2542",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "2542",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AL",
            "license": "2542",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Island Medical RTR LLC
• J.W. Homes LLC
• Antwain Jackson
• Kirk Lee Jackson, M.D.
• Stacey N Jackson, L.C.S.W. P.I.P
• Mark Jacob, LCSW
• Jasmine Keamber Jacobs, CRNP
• Jessie K Jacobs, LICSW
• Chanel M Jahn, BS
• Brian Ray James, M.D.

• Professional Counselor in Decatur, AL
• Providers in Decatur, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.