Active NPI
Ari Jacobson, LCPC, NCC
- Professional Counselor
- Rosedale, MD
National Provider Identifier
1639581762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LGP5371
- Practice address
- 6918 Ridge Rd
Rosedale, MD 21237-3854 - Phone
- (443) 442-1568
- NPI assigned
- May 23, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LGP5371 | MD | Primary |
Addresses
Primary practice location
6918 Ridge Rd
Rosedale, MD 21237-3854
Mailing address
6918 Ridge Rd
Rosedale, MD 21237-3854
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 7, 2024 through Mar 7, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGP5371 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408665600000",
"number": "1639581762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6918 RIDGE RD",
"city": "ROSEDALE",
"state": "MD",
"postal_code": "212373854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6918 RIDGE RD",
"city": "ROSEDALE",
"state": "MD",
"postal_code": "212373854",
"telephone_number": "443-442-1568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBSON",
"first_name": "ARI",
"credential": "LCPC, NCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-23",
"last_updated": "2014-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LGP5371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rosedale, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.