Jacob Lane McCormick

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

25402 Pacifica Ave
Mission Viejo, CA 92691-3854

Phone

(949) 238-2400

NPI assigned

Nov 5, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1831733633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26371 PALOMA APT 187",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926101711",
            "telephone_number": "985-274-8284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25402 PACIFICA AVE",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926913854",
            "telephone_number": "949-238-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "JACOB",
        "middle_name": "LANE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-05",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmccormick@telecarecorp.com",
            "affiliation": "N",
            "address_1": "25402 Pacifica Ave",
            "city": "Mission Viejo",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926913854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Deborah Eve McCarthy, R.D.
• Michael McCawley, MSW, LCSW
• Samantha Lynn McComb, SLP
• Linda McCool, SLP
• Michael F McCormack, MD
• Kathleen M McCormick, LVN
• Delaine Cole McCoy, D.D.S.
• Maegan McCoy, DOULA(DONA)
• Brianna McCulin
• Christian Randall McIlwain

• Counselor in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.