Rebecca Jacobson-Fowler, LMT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701008355 Issued in VA

Practice address

8720 Forest Hill Ave
North Chesterfield, VA 23235-2432

Phone

(804) 325-1669

NPI assigned

Feb 1, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Rebecca Jacobson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Zoe Therapy Services, LLC

  • Multi-Specialty Clinic/Center
  • Glen Allen, VA
  • NPI 1215352521
  NPD (past)

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1841798147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 DEVENWOOD RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232352810",
            "telephone_number": "804-482-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8720 FOREST HILL AVE",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232352432",
            "telephone_number": "804-325-1669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8100 Three Chopt Rd Rm 226",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232294833",
            "country_code": "US",
            "telephone_number": "804-303-9622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBSON-FOWLER",
        "first_name": "REBECCA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-01",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "JACOBSON",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hannah Kioko Jackson
• John Martin Jackson
• Naomi Martina Jackson, LCSW
• Quatysha N Jackson, LCSW
• Harvey Earl Jacobs, PH.D.
• Joseph Jadallah, PHARMD
• Jade ABA Therapy LLC
• Ehsan Jafree
• Leah Taryn Jamerson, D.P.T.
• James River Behavioral Solutions LLC

• Professional Counselor in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Professional Counselor in Virginia

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