William Jacobs, L.P.C.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0065602 Issued in NM

Practice address

1127 Alameda Blvd NW Ste C
Albuquerque, NM 87114-1240

Phone

(505) 379-0810

Fax

(520) 201-0179

NPI assigned

Jun 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bill Jacobs Professional name

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": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254268800000",
    "number": "1619918430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8608 CLARIDGE PL NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871146209",
            "telephone_number": "505-379-0810",
            "fax_number": "520-203-0179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 ALAMEDA BLVD NW STE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871141240",
            "telephone_number": "505-379-0810",
            "fax_number": "520-201-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "WILLIAM",
        "credential": "L.P.C.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2009-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0065602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4232782",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BILL",
            "last_name": "JACOBS",
            "credential": "L.P.C.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Aaron Jacobs, MD
• Alexandra Jacobs, IBCLC
• Kari Jacobs
• Michaela Haney Jacobs, M.D.
• Nuvia Jacobs
• Melissa M Jacobsen, MSW
• Vanessa Cook Jacobsohn, MD
• Brianna Nicole Jacobson, MA, LMHC
• Lena Jacobson, NURSE PRACTITIONER
• Tali Jacobson, CNM

• Mental Health Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; 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.