Shalana Jacobi, LPC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

66394 Issued in TX

Practice address

4810 N County Road 2800
Lubbock, TX 79403-7297

Phone

(806) 687-6301

Fax

(806) 747-3193

NPI assigned

Apr 19, 2012

Last updated

Apr 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Texas Girls and Boys Ranch

  • Professional Counselor
  • Lubbock, TX
  • NPI 1255522744
  NPD

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713571200000",
    "number": "1427315159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7909 AVENUE M",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794237314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 N COUNTY ROAD 2800",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794037297",
            "telephone_number": "806-687-6301",
            "fax_number": "806-747-3193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBI",
        "first_name": "SHALANA",
        "credential": "LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-19",
        "last_updated": "2024-04-20",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "66394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Jackson, MD
• Shelton Ray Jackson, MD
• Tandrea Jackson, FNP
• Traci Louise Jackson, MS, RDN
• Roy G Jacob, MD
• Scott C. Jacobs, LPC
• Mary A. Jaffe, FNP-BC
• Abhishek Jahagirdar, DDS
• Jaj Cardiology LLC
• Kimberly Lynn Jakeway, NP

• Professional Counselor in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.