Noelle Jacobsen, CNM, PMHNP-C WHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

231955 Issued in AK

Practice address

200 Maitland Ave Apt 142
Altamonte Springs, FL 32701-5539

Phone

(206) 207-7547

Fax

(206) 339-1448

NPI assigned

Jun 22, 2006

Last updated

May 20, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• OBGYN Psychiatry LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Altamonte Springs, FL
  • NPI 1194537969
  NPD Authorized official
• Goss, Parker & Quinsey, P.a.

  dba DBA Advanced Women's Health Specialists

  • Obstetrics & Gynecology Physician
  • Lake Mary, FL
  • NPI 1952354730
  NPD (past)
• Womencare PA

  • Specialist
  • Orlando, FL
  • NPI 1366529042
  NPD (past)

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1942246392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 W RIVERSIDE AVE STE N",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010581",
            "telephone_number": "206-207-7547",
            "fax_number": "206-339-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MAITLAND AVE APT 142",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015539",
            "telephone_number": "206-207-7547",
            "fax_number": "206-339-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSEN",
        "first_name": "NOELLE",
        "credential": "CNM, PMHNP-C WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "HI",
            "license": "APRN-5219",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9214204",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AK",
            "license": "231955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259038700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "306777700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACNM CERTIFICATION COUNCIL CERTIFIED NURSE MIDWIFE",
            "identifier": "11445",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL CERTIFICATION CORPORATION (NCC) FOR WHNP-BC",
            "identifier": "104896769",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ASSOCIATION OF NURSE PRACTITIONERS (AANP) FOR PMHNP-C",
            "identifier": "PMH10240017",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Keith Jackson II II, RBT
• Heidi Jackson, M.A.
• Natika Jackson, LMHC
• Whitney E Jackson, APRN
• Jacksonville Spine Center PA (Centurion Spine & Pain Centers)
• Leonard Jacoby, O.D.
• Cole Stuart Jahna
• Jaicks DMD PLLC
• James J. Macool, M.D., P.a.
• James J. Macool, MD, PA

• Psychiatric/Mental Health Nurse Practitioner in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.