Jacob Chabot, LLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

2019 Rambling Rd
Kalamazoo, MI 49008-1630

Phone

(269) 345-0909

NPI assigned

Aug 3, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Jake Chabot Other name

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Desert Streams P CGroup PAC ID 2961446273, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Desert Streams P C

  • Psychologist
  • Kalamazoo, MI
  • NPI 1740295492

  Mental Health

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1669154118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 LAFAYETTE AVE APT A23",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490065614",
            "telephone_number": "313-414-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 RAMBLING RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081630",
            "telephone_number": "269-345-0909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1514 Lafayette Ave Apt A23",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490065614",
            "country_code": "US",
            "telephone_number": "313-414-1854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHABOT",
        "first_name": "JACOB",
        "name_prefix": "Mr.",
        "credential": "LLPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAKE",
            "last_name": "CHABOT",
            "prefix": "MR.",
            "credential": "LLPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Centerpoint Church of Kalamazoo
• John Thomas Cerovski, M.D.
• Heather Anne Cerridwen, LLP
• Audrey Karen Cesario, LMSW
• Sung Jik Cha
• Theresa Chacon, MA, ATC, CSCS
• Chad Seabold, D.D.S., M.D., P.L.C.
• David Chadderdon, MA,LLP
• Katherine Chadwick
• Margot Lynne Chadwick, RN, NP

• Professional Counselor in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.