Southeastern Psychological and Counseling Services, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1377 Issued in AL

Legal business name

SOUTHEASTERN PSYCHOLOGICAL AND COUNSELING SERVICES, LLC

Practice address

256 Honeysuckle Rd
Suite 14
Dothan, AL 36305-1157

Phone

(334) 794-5467

Fax

(334) 677-1051

NPI assigned

Mar 22, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

J. Walter Jacobs, PH.D.

Title

President

Phone

(334) 794-5467

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1689790495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 HONEYSUCKLE RD",
            "address_2": "SUITE 14",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051157",
            "telephone_number": "334-794-5467",
            "fax_number": "334-677-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 HONEYSUCKLE RD",
            "address_2": "SUITE 14",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051157",
            "telephone_number": "334-794-5467",
            "fax_number": "334-677-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN PSYCHOLOGICAL AND COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-794-5467",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "1377",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "AL",
            "license": "325",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.