Individual provider Active NPI

Jacob D Lambert

  • Behavior Technician
  • Crestview, FL
National Provider Identifier
1578350690
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-25-428907 Issued in FL
Practice address
1001 Industrial Dr
Crestview, FL 32539-6943
Phone
(850) 400-6098
Fax
(866) 265-8817
NPI assigned
Apr 22, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-25-428907 FL Primary

Addresses

Primary practice location

1001 Industrial Dr
Crestview, FL 32539-6943

Mailing address

1001 Industrial Dr
Crestview, FL 32539-6943
Phone (850) 400-6098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RBT-25-428907FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Empowering Minds Behavior Technician CurrentSince Apr 27, 2025 Accepting new patients

Locations

1001 Industrial Dr
Crestview, FL 32539
Phone (850) 331-3608

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": "1745280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1578350690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 INDUSTRIAL DR",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325396943",
            "telephone_number": "850-400-6098",
            "fax_number": "866-265-8817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 INDUSTRIAL DR",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325396943",
            "telephone_number": "850-400-6098",
            "fax_number": "866-265-8817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMBERT",
        "first_name": "JACOB",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-22",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-25-428907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.