Organization Active NPI

Jacobson Counseling LLC

  • Community/Behavioral Health Agency
  • Maryville, MO
National Provider Identifier
1750515680
Registry record updated May 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2003018187 Issued in MO
Legal business name
JACOBSON COUNSELING LLC
Practice address
106 W Edwards St
Maryville, MO 64468-2419
Phone
(660) 254-1812
NPI assigned
May 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2009

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

Authorized official

Name
Mrs. Christine Marie Jacobson, LCSW
Title
Sole Proprietor
Phone
(660) 254-1812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2003018187 MO Primary

Addresses

Primary practice location

106 W Edwards St
Maryville, MO 64468-2419

Mailing address

106 W Edwards St
Maryville, MO 64468-2419
Phone (660) 254-1812

National Provider Directory

National Provider Directory

Locations

106 W Edwards St
Maryville, MO 64468
Phone (660) 254-1812

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241568000000",
    "number": "1750515680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 W EDWARDS ST",
            "city": "MARYVILLE",
            "state": "MO",
            "postal_code": "644682419",
            "telephone_number": "660-254-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W EDWARDS ST",
            "city": "MARYVILLE",
            "state": "MO",
            "postal_code": "644682419",
            "telephone_number": "660-254-1812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOBSON COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-06",
        "last_updated": "2009-05-06",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "660-254-1812",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MO",
            "license": "2003018187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.