Jacob Heath Robinson, CSAC, QMHP-A

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

0710103576 Issued in VA

Practice address

266 Green Valley CT
Chilhowie, VA 24319-3696

Phone

(276) 274-7242

NPI assigned

Jan 26, 2021

Last updated

Jan 26, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1821689555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 GREEN VALLEY CT",
            "city": "CHILHOWIE",
            "state": "VA",
            "postal_code": "243193696",
            "telephone_number": "276-274-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 GREEN VALLEY CT",
            "city": "CHILHOWIE",
            "state": "VA",
            "postal_code": "243193696",
            "telephone_number": "276-274-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "JACOB",
        "middle_name": "HEATH",
        "name_prefix": "Mr.",
        "credential": "CSAC, QMHP-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710103576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0710103576",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Chilhowie",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "266 Green Valley Ct",
            "city": "Chilhowie",
            "state": "VA",
            "country_code": "US",
            "postal_code": "243193696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gary Olinger, RPH
• Megan Phipps
• Jennifer A Pilcher, PHYSICAL THERAPIST
• Jessica A Ratcliff, MSW
• Wayne C Reynolds, M.D.
• Royal Oak Medical Associates PC (Parker Division)
• Jwana Saunders-Hall, LMT, BCTMB
• Megan Smith
• Southwest Virginia Community Health Systems Inc. (Chilhowie Elementary School)
• Southwest Virginia Community Health Systems Incorporated (Chilhowie High School)

• Addiction (Substance Use Disorder) Counselor in Chilhowie, VA
• Providers in Chilhowie, VA by specialty
• Addiction (Substance Use Disorder) Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.