Tamara Jacobs, TAMARA JACOBS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

8443 Issued in SC

Practice address

6169 Saint Andrews Rd Ste 40
Columbia, SC 29212-3146

Phone

(803) 402-6947

NPI assigned

Apr 26, 2023

Last updated

Aug 8, 2023By 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 2

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.

• Phoenix Philosophies Counseling & Consulting LLC

  • Professional Counselor
  • Columbia, SC
  • NPI 1104507144
  NPD Authorized official

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1578251609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6169 SAINT ANDREWS RD STE 40",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292123146",
            "telephone_number": "803-402-6947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6169 SAINT ANDREWS RD STE 40",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292123146",
            "telephone_number": "803-402-6947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "TAMARA",
        "name_prefix": "Ms.",
        "credential": "TAMARA JACOBS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "8443",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "8443",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lesley Jacobs
• Mallory Jacobs, LISW-CP
• Mellada Jacobs, APRN
• Nikesha D Jacobs, LPC
• Sean Edward Jacobs, PT
• Vernetta H Jacobs, MD
• Elena J Jacobson, PA-C
• Erin Teal Jacobson, PT
• Jessica Mullis Jacobson
• Leah Renate Jacobson, CD DONA

• Mental Health Counselor in Columbia, SC
• Providers in Columbia, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.