SUSAN CHARLOTTE JACOBSEN (NPI# 1013058320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013058320 |
| Entity Type | Individual |
| Full Name | SUSAN CHARLOTTE JACOBSEN |
| Credential | LMHC |
| Practice Address |
64 Indian Run Trl Wakefield RI 02879-1908 |
| Practice Telephone | 4017421430 |
| Mailing Telephone | 4017421430 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MHC00294 | RI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609966241 | Susan James Jacobsen | Physical Therapist | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2006-10-13 |
| 1922106350 | Susan Lorraine Jacobsen | Respiratory Therapist, Certified | 619 S Marion Ave, Lake City, FL 32025-5808 | 2006-09-20 |
| Street Address |
64 INDIAN RUN TRL |
| City | WAKEFIELD |
| State | RI |
| Zip Code | 02879-1908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831549435 | Bh Brightview Commons Opco, LLC | Alzheimer Center (Dementia Center) | 57 Grandeville Court, Wakefield, RI 02879 | 2016-06-15 |
| 1215392071 | Leslie Healy | Occupational Therapist | 12 Galleon Ct, Wakefield, RI 02879 | 2015-12-22 |
| 1649673799 | Peter Storti | Clinic/Center | 28 Columbia Street, Wakefield, RI 02879 | 2014-10-03 |
| 1285988790 | Silver Spring Health Care Management, Inc. | Physician Assistant | 70 Kenyon Ave Unit 321, Wakefield, RI 02879 | 2012-11-06 |
| 1013271584 | Amy Lee Barker | Speech-Language Pathologist | 213 Robinson Street, Wakefield, RI 02879 | 2012-06-29 |
| 1366708489 | Paige Houlihan | Student in an Organized Health Care Education/Training Program | 91 Rocky Brook Way St, Wakefield, RI 02879 | 2012-04-03 |
| 1639307176 | Perspectives Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 53 Dockray Street, Wakefield, RI 02879 | 2009-06-23 |
| 1649482233 | Marilyn A. Cooney | Speech-Language Pathologist | 307 Curtis Corner Road, Wakefield, RI 02879 | 2007-05-04 |
| 1518184522 | Keeley Therese Dante-card | Registered Nurse | 55 Cherry Lane, Wakefield, RI 02879 | 2007-04-19 |
| 1679799217 | Codac Inc | Peer Specialist | 350 Columbia St, Codac South County, Wakefield, RI 02879 | 2007-04-18 |
| Find all providers in zip 02879 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083220347 | Sivarin Nelson | Counselor | 98 Cedar St Apt 17, Wakefield, MA 01880-2757 | 2020-09-21 |
| 1124642699 | Alison Laura Lee | Counselor | 37 Water St Ste 1, Wakefield, MA 01880-3044 | 2020-06-01 |
| 1952924813 | Timothy Owens | Counselor | 20 Uncle Sams Ln, Wakefield, RI 02879-2377 | 2020-05-26 |
| 1952758229 | Marjorie Kotzamanis | Counselor | 15 Cedar Ct, Wakefield, MA 01880-2249 | 2016-05-17 |
| 1780838565 | Shelagh M Stone | Counselor | 35 S County Commons Way, Suite D-10, Wakefield, RI 02879-8240 | 2008-11-06 |
| 1194910232 | Barbara Joan Dwyer-heidkamp | Counselor | 338 Main St. Suite 304, Riverside Outpatient Center, Wakefield, MA 01880 | 2007-09-12 |
| 1598957896 | Rachel Cs Busch | Counselor | 24 Salt Pond Rd Ste B4, Wakefield, RI 02879-4320 | 2007-08-10 |
| 1770773699 | James William Mcdonald | Counselor | 1077 Main St, Apt 205, Wakefield, MA 01880-4113 | 2007-07-26 |
| 1093862427 | Michelle Oneill | Counselor | 338 Main St Ste 203, Wakefield, MA 01880-5013 | 2007-01-05 |
| 1851455026 | Patricia Callahan Rhode | Counselor | 6 Foster Street, Suite 2, Wakefield, MA 01880 | 2006-12-21 |
| Find all providers in WAKEFIELD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.