TONYA LYNN JACOB


Address: 413 W 285 S, Jerome, ID 83338-5517
Phone: 2089702245

TONYA LYNN JACOB (NPI# 1386129674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386129674
Entity Type Individual
Full Name TONYA LYNN JACOB
Credential LPC
Practice Address 413 W 285 S
Jerome
ID 83338-5517
Practice Telephone 2089702245
Mailing Telephone 2089702245
Enumeration Date 2018-10-02
Last Update Date 2018-10-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Office Location

Street Address 413 W 285 S
City JEROME
State ID
Zip Code 83338-5517

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1801121298 Yolanda S. Sedano Physician Assistant 132 5th Ave West, Jerome, ID 83338 2009-10-02
1295898310 Ronald Gail Hendrickson Dentist 128 South Adams, Jerome, ID 83338 2006-12-19
1316035512 Johnson Chiropractic Clinic Chiropractor 600 N Lincoln Ave, Jerome, ID 83338 2006-10-11
1265527725 Lon M. Egbert, P.C. Specialist/Technologist 128 5th Ave West, Jerome, ID 83338 2006-10-03
1992898605 St Benedicts Family Medical Center Home Health 414 N Lincoln, Suite 1, Jerome, ID 83338 2006-10-02
1790231355 Lexa Marie Balling Pharmacist 2680 S Lincoln Ave, Jerome, ID 83338 2016-09-01
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487255881 Gerlyn Danette Walker Counselor 414 N Lincoln Ave Ste 1, Jerome, ID 83338-2300 2020-11-03
1720099203 Sally Jo Leyse Counselor 601a Pioneer Mountain Loop, Jerome, ID 83338-6557 2006-08-10
1598206005 Kelly Smothers Counselor 215 W Yakima, Suite 1-4, Jerome, ID 83338-6157 2017-03-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1811595929 Idaho State University Counselor 1400 E Terry Dr Bldg 63, Pocatello, ID 83209-0001 2020-10-12
1013514728 Rebecca Rand Counseling LLC Counselor 136 S Academy Ave Ste G, Eagle, ID 83616-6541 2020-10-06
1689271843 Krystle May Sears Counselor 1550 N Crestmont Dr Ste A, Meridian, ID 83642-2177 2020-10-01
1437761491 Bridges Behavioral Health LLC Counselor 16810 N Dartmouth Ave, Nampa, ID 83687-3028 2020-08-20
1891307815 Pointview Counseling LLC Counselor 5700 E Franklin Rd Ste 220b, Nampa, ID 83687-7903 2020-08-20
1003425547 Jennifer Weseman Counselor 6305 W Overland Rd Ste 100, Boise, ID 83709-3029 2020-07-30
1801405766 Kristin Sue Richards Counselor 2000 N Larch St, Boise, ID 83706-1020 2020-07-27
1356959787 Heidi Alyssa Stark Counselor 4024 Ivy Dr, Nampa, ID 83686-8852 2020-07-22
1316563505 Family Health Services Corporation Counselor 607 2nd Ave E, Twin Falls, ID 83301-7128 2020-06-23
1710503909 Family Health Services Corporation Counselor 700 W 16th St, Burley, ID 83318-1710 2020-06-23
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Competitor

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City JEROME
Zip Code 83338

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Dataset Information

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.

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