Jacob John Folstrom, M.S., LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC7205 Issued in SD

Practice address

2902 W Main St
Rapid City, SD 57702-8132

Phone

(605) 721-8822

NPI assigned

Oct 10, 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

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jacob Folstrom Counseling Services LLC

  • Professional Counselor
  • Rapid City, SD
  • NPI 1114592334
  NPD Authorized official

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1770125874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 FLORMANN ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577015320",
            "telephone_number": "605-719-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 W MAIN ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577028132",
            "telephone_number": "605-721-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLSTROM",
        "first_name": "JACOB",
        "middle_name": "JOHN",
        "credential": "M.S., LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-10",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPC7205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garrett Folchert
• Morgan Folchert, CNP
• Brooke Marie Foley, PT, DPT
• Ryan Michael Folley, RD, LN
• Folsland Family Investments
• Diane Fordham
• Renee Katherina Forster, COTA/L
• Fort Meade Vamc
• Chuck Fortier
• Farzaneh Tavassoli Fortier, RPH

• Mental Health Counselor in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Mental Health Counselor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.