Active NPI
Alana Goldstein Jacobs, LPC
- Professional Counselor
- Wildwood, MO
National Provider Identifier
1407565286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2020034488
- Practice address
- 2650 Sun Meadow Dr
Wildwood, MO 63005-7018 - Phone
- (314) 722-6698
- NPI assigned
- Nov 21, 2022
- Last updated
- Nov 21, 2022
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2020034488 | MO | Primary |
Addresses
Primary practice location
2650 Sun Meadow Dr
Wildwood, MO 63005-7018
Mailing address
2650 Sun Meadow Dr
Wildwood, MO 63005-7018
Phone (314) 722-6698
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 |
|---|---|---|---|
| 2020034488 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668988800000",
"number": "1407565286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 SUN MEADOW DR",
"city": "WILDWOOD",
"state": "MO",
"postal_code": "630057018",
"telephone_number": "314-722-6698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 SUN MEADOW DR",
"city": "WILDWOOD",
"state": "MO",
"postal_code": "630057018",
"telephone_number": "314-722-6698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSTEIN JACOBS",
"first_name": "ALANA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-21",
"last_updated": "2022-11-21",
"certification_date": "2022-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2020034488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wildwood, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.