Anjali Jacob, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

011067 Issued in NY

Practice address

629 Sterling PL Apt 3R
Brooklyn, NY 11238-4820

Phone

(425) 445-8868

NPI assigned

Aug 30, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1902388515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 STERLING PL APT 3R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112384820",
            "telephone_number": "425-445-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 STERLING PL APT 3R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112384820",
            "telephone_number": "425-445-8868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "136 Madison Ave Ste 541538",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100166711",
            "country_code": "US",
            "telephone_number": "212-828-7473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOB",
        "first_name": "ANJALI",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-30",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "011067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toneya Jackson
• Zoraida Jackson
• Jacob Hirsch MD PLLC
• Jacob Nursing & Healthcare Employment Services Agency, Inc.
• Jacob Pharmacy Inc.
• Guilaine Jacob
• Jason Errol Jacob, PHARM D
• Jeffey Jacob, PHYSICIAN ASSISTANT
• Julia Jacob
• Julie V Jacob, NP

• Mental Health Counselor in Brooklyn, NY
• Providers in Brooklyn, 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 Feb 15, 2021; 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.