Jacob W Abbas
Individual provider Active NPI Professional Counselor · Pagosa Springs, CO
NPI 1376003236 · NPPES record last updated Aug 27, 2024
Key facts
- NPI
- 1376003236
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LPC.0018706 (CO)
- Practice address
- 95 S Pagosa Blvd
Pagosa Springs, CO 81147-8329 - Phone
- (970) 731-3700
- Fax
- (970) 731-0511
- NPI assigned
- Mar 25, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Upper San Juan Health Service District
Practice addresses (Care Compare)
95 S Pagosa Blvd
Pagosa Springs, CO 81147-8329
Phone (970) 731-3700
Hospital & facility affiliations
- Pagosa Springs Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240212000418 | CO | Practitioner - Mental Health Counselor | 9830532423 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arapahoe Mental Health Center, Inc | Current | Accepting new patients | |
| The 40 20 Collective LLC | Current |
Accepting new patients | |
| Arapahoe Mental Health Center, Inc | Current |
Accepting new patients | |
| Upper San Juan Health Service District | Current |
Accepting new patients | |
| Arapahoe Mental Health Center, Inc | Current |
Accepting new patients | |
| Upper San Juan Health Service District | Current | Accepting new patients |
Locations
116 Inverness Dr E
Ste 105
Englewood, CO 80112
14143 Denver West Pkwy
Ste 100
Lakewood, CO 80401
Phone (720) 594-5556
5524 S Prince St
Littleton, CO 80120
Phone (303) 730-0797
6507 S Santa Fe Dr
Littleton, CO 80120
Phone (303) 730-0797
6509 S Santa Fe Dr
Littleton, CO 80120
Phone (303) 730-3303
95 S Pagosa Blvd
Pagosa Springs, CO 81147
Phone (970) 731-3700
10350 Dransfeldt Rd
Parker, CO 80134
Phone (303) 597-3860
Interoperability endpoints
- https://api.platform.athenahealth.com/26636/brand/1/csg/1/fhir/r4
- jacobabbas@psmedicalcenter.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC.0018706 | CO | Yes |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
95 S Pagosa Blvd
Pagosa Springs, CO 81147-8329
Mailing address
95 S Pagosa Blvd
Pagosa Springs, CO 81147-8329
Phone (970) 731-3700
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | JacobAbbas@psmedicalcenter.cernerdirect.com |
Other providers in Pagosa Springs, CO
- A Safe Place in Pagosa, Inc.
- Abba Eye Care PC
- Kathleen Allen
- Alpine Medical and Specialty Practice
- Richard Scott Anderson
- Ang Services LLC
- Archuleta County Transportation
All providers in Pagosa Springs, CO · Professional Counselor in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.