Robert Montagu Jacobs, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

87451 Green Hill Rd
Eugene, OR 97402-9170

Phone

(541) 683-6104

NPI assigned

Oct 11, 2006

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 Arts

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194825600000",
    "number": "1821187741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21206",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974020401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87451 GREEN HILL RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974029170",
            "telephone_number": "541-683-6104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "ROBERT",
        "middle_name": "MONTAGU",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Jackson
• Valerie Jackson, CNIM
• Mikel Alexander Jacobo, QMHA
• Aaron Gabriel Jacobs
• Aaron Michael Jacobs
• Kirk Douglas Jacobson, M.D.
• Kraig Warren Jacobson, M.D.
• Melissa Michelle Jacobson, B.E.D.
• Susan Diane Jacobson, LPN
• Mary Jacque, B.S.

• Mental Health Counselor in Eugene, OR
• Providers in Eugene, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2007; 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.