Irene Leivas Jacobs, MC, LPC, CSAT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC13643 Issued in AZ

Practice address

7633 E Acoma Dr Ste 210
Scottsdale, AZ 85260-2908

Phone

(602) 214-6379

NPI assigned

Jul 6, 2022

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

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1568195568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5930 E SPRING RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545549",
            "telephone_number": "602-214-6379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7633 E ACOMA DR STE 210",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602908",
            "telephone_number": "602-214-6379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "IRENE",
        "middle_name": "LEIVAS",
        "credential": "MC, LPC, CSAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC13643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger Jackson
• Stephanie L Jackson, MD
• Jeffrey D Jaco, P.A.-C.
• Sneha Jacob, M.D
• Barbara Jacoboski, CSCD CCC SLP
• Valerie L Jacobs, MD, PHD
• Luke J Jacobsen, D.D.S.
• Jon S Jacobson, MD
• Karen Rose Jacobson, D.C.
• Richard Paul Jacoby, DPM

• Professional Counselor in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.