Linda Cheryl Jacobs, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6540 Issued in NC

Practice address

414 W Lebanon St
Mount Airy, NC 27030-2954

Phone

(336) 789-9492

Fax

(336) 789-9587

NPI assigned

Jun 8, 2007

Sex

Female

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

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Easter Seals Ucp North Carolina and Virginia, Inc.Group PAC ID 7618161407, 49 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Easter Seals Ucp North Carolina & Virginia, Inc.

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1306167713

  Mental Health, NC

  Medicare reassignment Care Compare group NPD
• Easter Seals Ucp North Carolina & Virginia, Inc.

  • Community/Behavioral Health Agency
  • Greenville, NC
  • NPI 1770335382
  Care Compare group
• Easter Seals Ucp North Carolina & Virginia, Inc.

  • Clinic Pharmacy
  • Greenville, NC
  • NPI 1841042454
  Care Compare group
• Easter Seals Ucp North Carolina & Virgina, Inc.

  • Community/Behavioral Health Agency
  • Mount Airy, NC
  • NPI 1033271978
  NPD
• Easter Seals Ucp North Carolina & Virginia, Inc.

  • Pharmacy
  • New Bern, NC
  • NPI 1013769629
  NPD

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1841493533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 BADGETT AVE",
            "city": "MT. AIRY",
            "state": "NC",
            "postal_code": "27030",
            "telephone_number": "336-786-1166",
            "fax_number": "336-786-6312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 W LEBANON ST",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270302954",
            "telephone_number": "336-789-9492",
            "fax_number": "336-789-9587"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "176 Badgett Ave",
            "address_purpose": "LOCATION",
            "city": "Mount Airy",
            "state": "NC",
            "postal_code": "270309206",
            "country_code": "US",
            "telephone_number": "336-786-1166",
            "fax_number": "336-786-6312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "LINDA",
        "middle_name": "CHERYL",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "6540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Innovative Meds RX
• Instride Foot & Ankle Specialists, PLLC
• David Dewitt Jackson, MD
• Joseph A Jackson, MD
• Kellie Suzanne Jackson, RN
• Nina Jagust, MPT
• James H. Wells, D.D.S., P.a.
• Darla L Jefferson, LPTA
• John L. Gravitte, D.D.S., P.a.
• Delores Edwards Johnson, FNP

• All providers in Mount Airy, NC
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.