Active NPI
Darren E Jacobs Sr.
- School Counselor
- Las Vegas, NV
National Provider Identifier
1740446020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 74303
- Practice address
- 315 S 7TH St
Las Vegas, NV 89101-5801 - Phone
- (702) 799-7800
- Fax
- (702) 799-1600
- NPI assigned
- Aug 5, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 74303 | NV | Primary |
| Community Health Worker | 172V00000X |
Addresses
Primary practice location
315 S 7TH St
Las Vegas, NV 89101-5801
Mailing address
4588 N Rancho Dr
12
Las Vegas, NV 89130-3426
Phone (702) 396-3464
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
| License | State | Type | Specialty |
|---|---|---|---|
| 74303 | NV | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288569600000",
"number": "1740446020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4588 N RANCHO DR",
"address_2": "12",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891303426",
"telephone_number": "702-396-3464",
"fax_number": "702-396-6164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 S 7TH ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891015801",
"telephone_number": "702-799-7800",
"fax_number": "702-799-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "DARREN",
"middle_name": "E",
"name_suffix": "Sr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-05",
"last_updated": "2010-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "NV",
"license": "74303",
"primary": true
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.