Catherine Marie Jacobsen, LMHC, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CATHERINE MARIE JACOBSEN, LMHC, PLLC

Practice address

1 Spring Square Business Park Unit 2
Newburgh, NY 12550-2566

Phone

(845) 248-3722

NPI assigned

Sep 25, 2020

Last updated

Oct 2, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Catherine Marie Jacobsen, LMHCNPI 1346704624

Title

Mental Health Counselor

Phone

(845) 248-3722

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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.

• Catherine Jacobsen, LMHC

  • Mental Health Counselor
  • New Windsor, NY
  • NPI 1346704624
  NPD Authorized official

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601596800000",
    "number": "1811504665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SANDPIPER LN",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125535464",
            "telephone_number": "845-248-3722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SPRING SQUARE BUSINESS PARK UNIT 2",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125502566",
            "telephone_number": "845-248-3722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHERINE MARIE JACOBSEN, LMHC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A",
        "authorized_official_last_name": "JACOBSEN",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "845-248-3722",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "009263-01",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Newburgh",
            "affiliation": "N",
            "endpointDescription": "phone",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "private practice",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "electronic",
            "address_1": "1 Spring Square Business Park Unit 2",
            "city": "Newburgh",
            "state": "NY",
            "country_code": "US",
            "postal_code": "125502566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Counselor in Newburgh, NY
• Providers in Newburgh, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; 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.