Active NPI
Isaac Jacobs, LCSW, PLLC
- Community/Behavioral Health Agency
- Rochester, NY
National Provider Identifier
1538838073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- ISAAC JACOBS, LCSW, PLLC
- Doing business as
- Enlighten Counseling
- Practice address
- 36 Winthrop St
Rochester, NY 14607-1326 - Phone
- (585) 314-8083
- Fax
- (585) 623-8182
- NPI assigned
- Sep 8, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Isaac Jacobs, LCSW
- Title
- LCSW-Owner
- Phone
- (585) 314-8083
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
36 Winthrop St
Rochester, NY 14607-1326
Mailing address
36 Winthrop St
Rochester, NY 14607-1326
Phone (585) 314-8083
Other names 1
- Enlighten Counseling
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.simplepractice.com | Direct |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631059200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631059200000",
"number": "1538838073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 WINTHROP ST",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146071326",
"telephone_number": "585-314-8083",
"fax_number": "585-623-8182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 WINTHROP ST",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146071326",
"telephone_number": "585-314-8083",
"fax_number": "585-623-8182"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ISAAC JACOBS, LCSW, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-08",
"last_updated": "2021-09-08",
"certification_date": "2021-04-16",
"status": "A",
"authorized_official_last_name": "JACOBS",
"authorized_official_first_name": "ISAAC",
"authorized_official_title_or_position": "LCSW-OWNER",
"authorized_official_telephone_number": "585-314-8083",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.simplepractice.com",
"affiliation": "N",
"endpointDescription": "Electronic Medical Record",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "36 Winthrop St",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146071326",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Enlighten Counseling",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.