Organization Active NPI

Rebecca Jacobson Therapy, LLC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1811538416
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
REBECCA JACOBSON THERAPY, LLC
Practice address
1827 N Dayton St Unit E
Chicago, IL 60614-0999
Phone
(847) 421-9136
NPI assigned
Oct 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

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

Authorized official

Name
Rebecca Jacobson, LCSWNPI 1528581790
Title
Owner
Phone
(847) 421-9136

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1827 N Dayton St Unit E
Chicago, IL 60614-0999

Mailing address

1827 N Dayton St Unit E
Chicago, IL 60614-0999

Other practice location 1

2835 N Sheffield Ave Ste 521
Chicago, IL 60657-5081
Phone (847) 421-9136

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rebecca@rebeccajacobsontherapy.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

2835 N Sheffield Ave
Ste 521
Chicago, IL 60657
Phone (847) 421-9136

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570147200000",
    "number": "1811538416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1827 N DAYTON ST UNIT E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606140999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1827 N DAYTON ST UNIT E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606140999",
            "telephone_number": "847-421-9136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2835 N Sheffield Ave Ste 521",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606575081",
            "country_code": "US",
            "telephone_number": "847-421-9136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REBECCA JACOBSON THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-04",
        "last_updated": "2019-10-04",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-421-9136",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rebecca@rebeccajacobsontherapy.com",
            "affiliation": "N",
            "endpointDescription": "LLC Email Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1827 N Dayton St Unit E",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606140999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.