Individual provider Active NPI

James Franklin Jacobs, PH.D.

  • Marriage & Family Therapist
  • Hopewell, VA
National Provider Identifier
1972584662
Registry record updated Aug 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0717000722 Issued in VA
Practice address
211 N 5TH Ave
Hopewell, VA 23860-2509
Phone
(804) 586-7017
Fax
(804) 748-9517
NPI assigned
Nov 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2007

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 0717000722 VA Primary
Marriage & Family Therapist 106H00000X LF00000856 WA
Marriage & Family Therapist 106H00000X 004765 TX
Addiction (Substance Use Disorder) Counselor 101YA0400X 0718000210 VA
Professional Counselor 101YP2500X 14421 TX

Addresses

Primary practice location

211 N 5TH Ave
Hopewell, VA 23860-2509

Mailing address

10807 Sterling Cove Dr
Chesterfield, VA 23838-5247
Phone (804) 586-7017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20240118000557 VA Practitioner - Marriage and Family Therapist 7315399086 Practice locations: Chester, VA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11923 Centre St
Suite A1
Chester, VA 23831-1702
Phone (804) 586-7017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
14421TXMDAddiction (Substance Use Disorder) Counselor
0718000210VAMDAddiction (Substance Use Disorder) Counselor
004765TXMDMarriage & Family Therapist
LF00000856WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
James F Jacobs, PH.D., LMFT Professional Past Accepting new patients
Claiborn & Associates Inc. Addiction (Substance Use Disorder) Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187654400000",
    "number": "1972584662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10807 STERLING COVE DR",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238385247",
            "telephone_number": "804-586-7017",
            "fax_number": "804-748-9517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N 5TH AVE",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "238602509",
            "telephone_number": "804-586-7017",
            "fax_number": "804-748-9517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "JAMES",
        "middle_name": "FRANKLIN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2007-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717000722",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF00000856",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "004765",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0718000210",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "14421",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopewell, VA

Sources for this page

Verify at the official NPI Registry.