Lindsay Rae Jacobs, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH8564 Issued in FL

Practice address

12497 Tamiami Trail
Ste. 4
North Port, FL 34287

Phone

(941) 492-4300

Fax

(941) 492-2170

NPI assigned

Jul 11, 2006

Last updated

Mar 18, 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 1

Addresses

Other names 1

• Mrs. Lindsay Rae Brantley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Coastal Behavioral Healthcare, Inc.

  • Community/Behavioral Health Agency
  • Sarasota, FL
  • NPI 1598726648
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1437184561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 STATE STREET",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34236",
            "telephone_number": "941-927-8900",
            "fax_number": "941-917-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12497 TAMIAMI TRAIL",
            "address_2": "STE. 4",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "34287",
            "telephone_number": "941-492-4300",
            "fax_number": "941-492-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "LINDSAY",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH8564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSAY",
            "last_name": "BRANTLEY",
            "middle_name": "RAE",
            "prefix": "MRS.",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hunter Elizabeth Ingram
• Joann Irving, A.R.N.P.
• Sarfraz A Islam, M.D.
• Kendra Ivey
• Christine A Jackson
• Anya James
• Ryan S. Jawitz, D.O.
• Taina Jean Baptiste
• Noelis Maria Jennings Rosario, DPM
• Jamie C Jennings, CPNP-AC

• Mental Health Counselor in North Port, FL
• Providers in North Port, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.