MICHELE JACOBSON (NPI# 1295863801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295863801 |
| Entity Type | Individual |
| Full Name | MICHELE JACOBSON |
| Other Name | MICHELE ROSE |
| Credential | L.M.H.C. |
| Practice Address |
420 Se 18th Street Fort Lauderdale FL 33316 |
| Mailing Address |
1726 Se 3rd Avenue Fort Lauderdale FL 33316 |
| Practice Telephone | 9545224749 |
| Practice Fax Number | 9544973857 |
| Mailing Telephone | 9545224749 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2015-01-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 768055400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245500792 | Michele Jacobson | Speech-Language Pathologist | 14 Strawberry Ln, Roslyn Heights, NY 11577-2518 | 2011-12-30 |
| 1487751558 | Michele Leigh Jacobson | Occupational Therapist | 1000 W 140th St Ste 201, Burnsville, MN 55337-4480 | 2006-09-20 |
| 1124520739 | Michele Jacobson | Behavior Technician | 1887 Monterey Hwy Ste 225, San Jose, CA 95112-6117 | 2018-02-28 |
| 1477943488 | Michele Jacobson | Counselor | 1490 Grimes St, Fallon, NV 89406-3103 | 2015-01-28 |
| 1235115221 | Michele L Jacobson | Obstetrics & Gynecology | 530 South St, Suite G-20, Greensburg, PA 15601-2775 | 2005-12-21 |
| Street Address |
420 SE 18TH STREET |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064040 | Jonathan David Ortiz | Behavior Technician | 1717 Se 4 Ave, Fort Lauderdale, FL 33316 | 2020-05-15 |
| 1306311626 | Gateway Recovery Center, LLC | Counselor | 1421 Sw 4th Avenue, Suite B, Fort Lauderdale, FL 33316 | 2018-10-13 |
| 1588141626 | Natan Bastoky | Family Medicine | 1600 S Andrews Ave # Gme, Fort Lauderdale, FL 33316 | 2018-07-22 |
| 1104320126 | Kathleen Kanani Graham | Pharmacist | 1401 S. Federal Highway, Ft. Lauderdale, FL 33316 | 2018-03-23 |
| 1093224271 | Lacosta Therapy, LLC | Behavioral Analyst | 412 Se 15 St., #4, Ft. Lauderdale, FL 33316 | 2017-09-20 |
| 1124560370 | Yulia Rybalka | Pharmacist | 217 Se 10th Street, Ft Lauderdale, FL 33316 | 2016-11-04 |
| 1730635376 | Brian Alexander Reyes | Specialist/Technologist | 303 Se 3rd Ave, Ft Lauderdale, FL 33316 | 2016-09-01 |
| 1649726282 | Jennifer Tabares | Specialist/Technologist | 303 Southeast 3rd Av, Fort Lauderdale, FL 33316 | 2016-09-01 |
| 1609236850 | Diane Nicole Shilling | Nurse Practitioner | 1001 South Andrews Avenue, Suite 100, Ft. Lauderdale, FL 33316 | 2016-03-01 |
| 1396113239 | Victoria Rosado | Adult Companion | 150 Se 12th Street, 401(b), Fort Lauderdale, FL 33316 | 2015-09-09 |
| Find all providers in zip 33316 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275134066 | Hyacinth Anne Morgan | Counselor | 1001 W Cypress Creek Rd Ste 302s, Fort Lauderdale, FL 33309-1950 | 2020-11-06 |
| 1871192203 | Kamari L Pasley | Counselor | 1900 Nw 16th Ct, Fort Lauderdale, FL 33311-4639 | 2020-10-17 |
| 1134746829 | Chinyere Tunsill | Counselor | 1000 Long Island Ave, Fort Lauderdale, FL 33312-2674 | 2020-06-29 |
| 1750906848 | Darcy Holm | Counselor | 3000 N Federal Hwy Ste 5, Fort Lauderdale, FL 33306-1416 | 2020-06-15 |
| 1356977078 | Herz Counseling Group, LLC | Counselor | 4390 N Federal Hwy Ste 208, Fort Lauderdale, FL 33308-5200 | 2020-03-13 |
| 1558997346 | Paulina Scaturro | Counselor | 4413 Ne 21st Ave, Fort Lauderdale, FL 33308-5603 | 2020-03-12 |
| 1144855925 | Victoria Baca | Counselor | 501 Ne 5th Ter Apt 314, Fort Lauderdale, FL 33301-0014 | 2020-03-11 |
| 1184254476 | Shaira A. Shah | Counselor | 2699 Stirling Rd Ste C307, Fort Lauderdale, FL 33312-6564 | 2020-01-25 |
| 1194364893 | Jennifer Tiech | Counselor | 2901 W Cypress Creek Rd Ste 123124, Fort Lauderdale, FL 33309-1730 | 2019-12-27 |
| 1205475167 | Tara Yombor | Counselor | 545 Sw 18th Ave Unit 34, Fort Lauderdale, FL 33312-7704 | 2019-12-24 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33316 |
Please comment or provide details below to improve the information on MICHELE JACOBSON.
| 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.