Jessica Jacovitch, MS, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

1145 Grand Ave
Saint Paul, MN 55105-2629

Phone

(612) 424-2446

NPI assigned

Mar 24, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1902268303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 GRAND AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551052885",
            "telephone_number": "612-424-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 GRAND AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551052629",
            "telephone_number": "612-424-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOVITCH",
        "first_name": "JESSICA",
        "credential": "MS, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-24",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen Jean Jacobson, P.A.-C
• Elizabeth Jacobson, CRNFA
• Jessie Mae Jacobson, MS, LAT, ATC
• Joyce Jacobson, CRNA
• Kimberly A Jacobson, CPNP
• Elizabeth A Jacox, FNP-BC
• David D Jaeger, MD
• Sharon B Jaeger, MD
• Mary Ellen Jaehne, LICSW
• Bonnie Jaffe, RN

• Professional Counselor in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.