MRS. JESSICA ANN JACOBSON (NPI# 1144532078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144532078 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA ANN JACOBSON |
| Other Name | MS. JESSICA ANN ROMAN |
| Credential | M.ED., LPC |
| Practice Address |
302 Tom Hall St Suite 5 Fort Mill SC 29715-2338 |
| Mailing Address |
968 Rock Forest Way Indian Land SC 29707-4509 |
| Practice Telephone | 8037010075 |
| Mailing Telephone | 8037010075 |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2016-01-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
5624 | SC | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
9517 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720451792 | Jessica Jacobson | Occupational Therapist | 15 Nudd St # 2, Waterville, ME 04901-7328 | 2015-11-12 |
| 1659586956 | Jessica T Jacobson | Occupational Therapy Assistant | 221 S 12th St, 502s, Philadelphia, PA 19107-5556 | 2007-05-11 |
| 1811541543 | Jessica Lynn Jacobson | Internal Medicine | 2769 Heartland Dr, Coralville, IA 52241-2732 | 2019-07-31 |
| 1033663414 | Jessica Jacobson | Registered Nurse | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2016-08-15 |
| 1578959847 | Jessica P Jacobson | Student in an Organized Health Care Education/Training Program | 206 2nd St E, Bradenton, FL 34208-1042 | 2015-04-13 |
| 1881928927 | Jessica Jacobson | Counselor | 3230 Kerner Blvd, San Rafael, CA 94901-4840 | 2009-09-22 |
| 1124219027 | Jessica Sanchez Jacobson | Speech-Language Pathologist | 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 | 2007-08-06 |
| 1578657466 | Jessica Lynn Jacobson | Pathology | 462 1st Ave, Room 4w1, New York, NY 10016-9196 | 2006-10-03 |
| Street Address |
302 TOM HALL ST SUITE 5 |
| City | FORT MILL |
| State | SC |
| Zip Code | 29715-2338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811420631 | Frank Palermo | Counselor | 302 Tom Hall St, Suite 5, Fort Mill, SC 29715-2338 | 2017-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590278 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1919 Springfield Parkway, Fort Mill, SD 29715 | 2020-08-25 |
| 1336759307 | Elizabeth Blakeney Sitton | Dentist | 3463 Us-21 #101, Fort Mill, SC 29715 | 2020-08-05 |
| 1730715293 | Fort Mill Dobys Bridge Dental LLC | Clinic/Center | 1500 Fort Mill Pkwy #108, Fort Mill, SC 29715 | 2020-03-17 |
| 1841728755 | Dennis Demetrius Williams | Specialist/Technologist | 1179 Madison Green Dr, Fort Mill, SC 29715 | 2017-05-23 |
| 1437684453 | Specialty Orthopaedics and Sports Medicine | Orthopaedic Surgery | 130 Crisanto Ave Ste B, Fort Mill, SC 29715 | 2017-04-27 |
| 1730624115 | Springfield Dentistry | Dentist | 452 Mercantile Place, Fort Mill, SC 29715 | 2016-12-21 |
| 1700335569 | Melby Transitions Mht LLC | Internal Medicine | 1148 Wessington Manor Ln, Fort Mill, SC 29715 | 2016-09-22 |
| 1629434071 | Palmetto Family Pharmacy Regent Park | Pharmacy | 1046 Regent Parkway, Suite 104, Fort Mill, SC 29715 | 2016-01-14 |
| 1619374220 | Rebecca Rowe | Speech-Language Pathologist | 8835 Gladden Hill Ln, Fort Mill, SC 29715 | 2014-11-25 |
| 1003248873 | Terri Hennessey | Speech-Language Pathologist | 1599 Farm House Dr, Fort Mill, SC 29715 | 2013-08-05 |
| Find all providers in zip 29715 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871142521 | Caylee King | Counselor | 1913 Skipping Stone Dr, Fort Mill, SC 29715-7622 | 2019-09-05 |
| 1063993525 | Carolina Community Counseling LLC | Counselor | 2012 Highway 160 W Ste 9, Fort Mill, SC 29708-8401 | 2018-08-23 |
| 1568949857 | Janel A Guntle | Counselor | 852 Gold Hill Rd Ste 204, Fort Mill, SC 29708-6965 | 2018-07-19 |
| 1225561988 | H Wallach | Counselor | 1381 Lurecliff Pl, Fort Mill, SC 29708-7956 | 2017-04-09 |
| 1801249321 | Amy Anderson | Counselor | 1870 Second Baxter Xing, Fort Mill, SC 29708-6401 | 2016-07-20 |
| 1366875593 | Elizabeth Morris | Counselor | 1212 Kanawha Ct, Fort Mill, SC 29715-8665 | 2013-08-12 |
| 1043656028 | Virginia Eddy | Counselor | 1758 Clydesdales Ct, Apt 201, Fort Mill, SC 29715-5516 | 2013-05-16 |
| 1639455488 | Nametris Blount | Counselor | 118 Academy Street, Fort Mill, SC 29715 | 2011-10-25 |
| 1639462658 | Kristina R Franklin | Counselor | 1787 Pleasant Rd, Fort Mill, SC 29708-7862 | 2011-05-24 |
| 1881991008 | Compass Care LLC | Counselor | 26182 Camden Woods Dr, Fort Mill, SC 29707-6339 | 2011-02-24 |
| Find all providers in FORT MILL | ||||
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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.