DOLORES P, JACOBY (NPI# 1336667922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336667922 |
| Entity Type | Individual |
| Full Name | DOLORES P, JACOBY |
| Other Name | DR. DOLORES P JACOBY |
| Credential | M.S.W., D. DIV,PH.D. |
| Practice Address |
716 Van Buren St Port Townsend WA 98368-8051 |
| Practice Telephone | (561) 385-8420 |
| Mailing Telephone | 5613858420 |
| Enumeration Date | 2017-09-02 |
| Last Update Date | 2017-09-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
604151293 | WA | Behavioral Health & Social Service Providers |
| Y | 101YP1600X |
Counselor Specialization: Pastoral |
604151293 | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | TRIWEST, VETERAN'S ADMINISTRATION | 604151293 | 01 |
| WA | VETERAN'S ADMINISTRATION | 604151293 | 01 |
| Street Address |
716 VAN BUREN ST |
| City | PORT TOWNSEND |
| State | WA |
| Zip Code | 98368-8051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730727827 | Ace It Employment & Transition Services LLC | Community/Behavioral Health | 1233 Lawrence Street, Port Townsend, WA 98368 | 2019-12-19 |
| 1942862792 | Peninsula Midwives | Midwife | 203 Pocket Lane, Port Townsend, WA 98368 | 2019-07-02 |
| 1700349461 | Kelle Gayelena Ronnfeldt | Nurse Practitioner | 844 West Park Ave, Port Townsend, WA 98368 | 2019-04-10 |
| 1841769031 | Richard Sankey Hansen | Counselor | 448 Hastings Ave, Port Townsend, WA 98368 | 2018-11-16 |
| 1255800595 | Alan P Brown | Counselor | 821 Mcpherson St, Port Townsend, WA 98368 | 2018-11-15 |
| 1699257873 | Megan E Smith | Counselor | 260 Kala Point Dr, Ste 99, Port Townsend, WA 98368 | 2018-09-04 |
| 1093297434 | Jacqueline Levin | Clinical Nurse Specialist | 234 Pond Road, Port Townsend, WA 98368 | 2018-09-02 |
| 1306335682 | Matthew D Hust | Physical Therapy Assistant | 751 Kearney Street, Port Townsend, WA 98368 | 2018-05-02 |
| 1306368238 | Michael Ozar | Psychologist | 1806 Walnut Street, Port Townsend, WA 98368 | 2017-07-12 |
| 1336674076 | Yuko Umeda | Registered Nurse | 615 Sheridan Street, Port Townsend, WA 98368 | 2017-05-01 |
| Find all providers in zip 98368 | ||||
| Taxonomy Code | 101YP1600X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Pastoral |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870312 | Darnell Mosley | Counselor | 9600 Veterans Dr Sw Bldg 111, Tacoma, WA 98493-0003 | 2020-10-30 |
| 1245852524 | Lutricia Levette Cisco | Counselor | 400 Union Ave Se Ste 244, Olympia, WA 98501-2060 | 2020-05-10 |
| 1902463813 | August Jensen | Counselor | 46 Stoller Rd, Trout Lake, WA 98650-9712 | 2019-05-27 |
| 1457823593 | Jonathan Prescott | Counselor | 7133 Glencoe Ln, Anacortes, WA 98221-8913 | 2018-12-31 |
| 1083184675 | Alicia L Paschall | Counselor | 222 S Howard St, Apt 310, Spokane, WA 99201 | 2018-11-27 |
| 1477047470 | Terri Lynn Martinez-williams | Counselor | 9901 Ne 7th Ave Ste A206, Vancouver, WA 98685-4526 | 2018-06-22 |
| 1033624820 | Deborah Kirkpatrick | Counselor | 1507 Bethel St Ne, Olympia, WA 98506-3304 | 2017-12-03 |
| 1629459854 | Kenneth Alford | Counselor | 302 Phoenix Ave Sw, Orting, WA 98360-9395 | 2015-06-12 |
| 1790120988 | Clare Alyce Brauer-rieke | Counselor | 4525 19th Ave Ne, Seattle, WA 98105-3301 | 2013-05-01 |
| 1104160340 | Cat Saunders | Counselor | 4906 Woodlawn Ave N, Seattle, WA 98103-6748 | 2012-11-10 |
| Find all providers with the same taxonomy | ||||
| City | PORT TOWNSEND |
| Zip Code | 98368 |
Please comment or provide details below to improve the information on DOLORES P, JACOBY.
| 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.