Stephanie Jacobs, PHD, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

004724 Issued in NY

Legal business name

STEPHANIE JACOBS, PHD, LMHC

Practice address

320 W 30TH St
2F
New York, NY 10001-2710

Phone

(917) 439-0628

NPI assigned

Sep 7, 2015

Organization subpart

No

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

Authorized official

Name

Stephanie Jacobs

Title

Owner

Phone

(917) 439-0628

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1441584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441584000000",
    "number": "1831567981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 W 30TH ST",
            "address_2": "2F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100012710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 W 30TH ST",
            "address_2": "2F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100012710",
            "telephone_number": "917-439-0628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE JACOBS, PHD, LMHC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-07",
        "last_updated": "2015-09-07",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-439-0628"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "004724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in New York, NY
• Providers in New York, 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 Sep 7, 2015; 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.