Active NPI
Jacob Sowder, LPC
- Professional Counselor
- Abingdon, VA
National Provider Identifier
1790506087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701014099
- Practice address
- 610 Campus Dr
Abingdon, VA 24210-2589 - Phone
- (276) 525-1550
- Fax
- (276) 525-1609
- NPI assigned
- Oct 21, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701014099 | VA | Primary |
Addresses
Primary practice location
610 Campus Dr
Abingdon, VA 24210-2589
Mailing address
610 Campus Dr
Abingdon, VA 24210-2589
Phone (276) 525-1550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
610 Campus Dr
Abingdon, VA 24210-2589
Phone (276) 525-1587
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highlands Community Services | Current | Accepting new patients |
Locations
610 Campus Dr
Abingdon, VA 24210
Phone (276) 525-1550
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Abingdon, VA
- NPI 1396774147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729468800000",
"number": "1790506087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 CAMPUS DR",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242102589",
"telephone_number": "276-525-1550",
"fax_number": "276-525-1609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 CAMPUS DR",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242102589",
"telephone_number": "276-525-1550",
"fax_number": "276-525-1609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOWDER",
"first_name": "JACOB",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-10-21",
"last_updated": "2024-10-21",
"certification_date": "2024-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701014099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Abingdon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.