Jacob Michael Schwartz, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

009564 Issued in NY

Practice address

3960 Harlem Rd Ste 6B
Snyder, NY 14226-4706

Phone

(716) 431-0400

NPI assigned

Jul 7, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1562457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562457600000",
    "number": "1760044028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 STILLWELL AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142172148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 HARLEM RD STE 6B",
            "city": "SNYDER",
            "state": "NY",
            "postal_code": "142264706",
            "telephone_number": "716-431-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "JACOB",
        "middle_name": "MICHAEL",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-07",
        "last_updated": "2019-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "009564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Santucci, Rd, CDN, PLLC
• Robert Optical Inc.
• Tamara Lee Roberts, CCC/SLP
• Alice M Rosenthal, LICENSED CLINICAL SO
• Samantha Gray Therapy & Professional Consultation
• Gina M Siegel, DDS
• I Siegel, DDS
• Snyder Dental Group
• Snyder Pharmacy Inc
• Ralph C Sperrazza, M.D.

• All providers in Snyder, NY
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2019; 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.