NPIMap

Organization Active NPI

James F Jacobs, PH.D., LMFT

Doing business as James F. Jacobs, Ph.D.

  • Marriage & Family Therapist
  • Hopewell, VA
National Provider Identifier
1760510580
Registry record updated Oct 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
017000722 Issued in VA
Legal business name
JAMES F JACOBS, PH.D., LMFT
Doing business as
James F. Jacobs, Ph.D.
Practice address
211 N 5TH Ave
Hopewell, VA 23860-2509
Phone
(804) 586-7017
Fax
(804) 458-1011
NPI assigned
Mar 1, 2007
Reactivated
Oct 30, 2015
Last updated
Oct 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2015

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

Authorized official

Name
Dr. James Franklin Jacobs, PH.D.NPI 1972584662
Title
Owner
Phone
(804) 586-7017

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 14421 TX
Marriage & Family Therapist 106H00000X 017000722 VA Primary
Marriage & Family Therapist 106H00000X LF00000856 WA
Marriage & Family Therapist 106H00000X 004765 TX

Addresses

Primary practice location

211 N 5TH Ave
Hopewell, VA 23860-2509

Mailing address

10807 Sterling Cove Dr
Chesterfield, VA 23838-5247
Phone (804) 586-7017

Other identifiers 1

IdentifierTypeStateIssuer
010355044MedicaidVA

Other names 1

  • James F. Jacobs, Ph.D. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446163200000",
    "number": "1760510580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10807 STERLING COVE DR",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238385247",
            "telephone_number": "804-586-7017",
            "fax_number": "804-748-9517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N 5TH AVE",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "238602509",
            "telephone_number": "804-586-7017",
            "fax_number": "804-458-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES F JACOBS, PH.D., LMFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2015-10-30",
        "deactivation_date": "2008-07-11",
        "reactivation_date": "2015-10-30",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-586-7017",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "14421",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "017000722",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF00000856",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "004765",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010355044",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "James F. Jacobs, Ph.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hopewell, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; 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.