Active NPI
Jennifer Joelle Jacobs, MS, LPC, NCC
- Mental Health Counselor
- Prosper, TX
National Provider Identifier
1467051201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6401015576
- Practice address
- 1320 Berkshire Lane
Unit 305
Prosper, TX 75078-3040 - Phone
- (469) 708-9197
- NPI assigned
- Oct 22, 2020
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6401015576 | MI | Primary |
Addresses
Primary practice location
1320 Berkshire Lane
Unit 305
Prosper, TX 75078-3040
Mailing address
1320 Berkshire Lane
Unit 305
Prosper, TX 75078-3040
Phone (616) 821-9047
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401015576 | MI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Mental Health | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
250 Monroe Ave NW
Ste 400
Grand Rapids, MI 49503
Phone (616) 441-4616
700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746057600000",
"number": "1467051201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 BERKSHIRE LANE",
"address_2": "UNIT 305",
"city": "PROSPER",
"state": "TX",
"postal_code": "750783040",
"telephone_number": "616-821-9047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 BERKSHIRE LANE",
"address_2": "UNIT 305",
"city": "PROSPER",
"state": "TX",
"postal_code": "750783040",
"telephone_number": "469-708-9197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "JENNIFER",
"middle_name": "JOELLE",
"credential": "MS, LPC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-22",
"last_updated": "2025-05-01",
"certification_date": "2025-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6401015576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prosper, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.