Alana Goldstein Jacobs, LPC
Individual provider Active NPI Professional Counselor · Wildwood, MO
NPI 1407565286 · NPPES record last updated Nov 21, 2022
Key facts
- NPI
- 1407565286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 2020034488 (MO)
- Practice address
- 2650 Sun Meadow Dr
Wildwood, MO 63005-7018 - Phone
- (314) 722-6698
- NPI assigned
- Nov 21, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020034488 | MO | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2020034488 | MO | Yes |
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
Other providers in Wildwood, MO
- Tayla Gatson
- Marc Alan Gerst Jr.
- Kay Gibbs
- Global Village Therapy, LLC
- Suzanne S. Golden
- Keridan Gossrau
- Grace Home Healthcare, LLC
- John Anthony Gragnani
- Amber Grayson
- Emily Gregor
All providers in Wildwood, MO · Professional Counselor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.