KARMIT JACOBSON (NPI# 1609411537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609411537 |
Entity Type | Individual |
Full Name | KARMIT JACOBSON |
Practice Address |
3075 Adeline St Ste 120 Berkeley CA 94703-2579 |
Practice Telephone | 5108481112 |
Mailing Telephone | 5108481112 |
Enumeration Date | 2019-11-14 |
Last Update Date | 2019-11-14 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
Street Address |
3075 ADELINE ST STE 120 |
City | BERKELEY |
State | CA |
Zip Code | 94703-2579 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609911510 | Tanisha Delores Stewart | Counselor | 3075 Adeline St Ste 120, Berkeley, CA 94703-2579 | 2007-02-20 |
1730790072 | Elizabeth J Tsybulsky | Student in an Organized Health Care Education/Training Program | 3075 Adeline St Ste 120, Berkeley, CA 94703-2579 | 2020-08-11 |
1962012807 | Jessica Marie Mccarrick | Student in an Organized Health Care Education/Training Program | 3075 Adeline St Ste 120, Berkeley, CA 94703-2579 | 2020-08-05 |
1396355236 | Caitlin Ellis | Student in an Organized Health Care Education/Training Program | 3075 Adeline St Ste 120, Berkeley, CA 94703-2579 | 2020-08-05 |
1548870496 | Amanda Niels Leighton Wolfe | Student in an Organized Health Care Education/Training Program | 3075 Adeline St Ste 120, Berkeley, CA 94703-2579 | 2020-08-05 |
1265042113 | Joseph Hedlind | Student in an Organized Health Care Education/Training Program | 3075 Adeline St Ste 120, Berkeley, CA 94703-2579 | 2020-08-05 |
1275142242 | Kristina Johnson | Student in an Organized Health Care Education/Training Program | 3075 Adeline St Ste 120, Berkeley, CA 94703-2579 | 2020-07-27 |
1144839234 | Sredha Mariam Shine | Student in an Organized Health Care Education/Training Program | 3075 Adeline St Ste 120, Berkeley, CA 94703-2579 | 2020-07-24 |
1568071637 | Daniel Benjamin Sager | Student in an Organized Health Care Education/Training Program | 3075 Adeline St Ste 120, Berkeley, CA 94703-2579 | 2020-07-24 |
1972151074 | Sophia Kaur Sandhu | Student in an Organized Health Care Education/Training Program | 3075 Adeline St Ste 120, Berkeley, CA 94703-2579 | 2019-08-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811553621 | Brittney Jerrilena Monique Garrett | Behavioral Analyst | 1901 Stuart St, Berkeley, CA 94703 | 2019-05-16 |
1740762178 | Maryam Jabbari Amiri | Student in an Organized Health Care Education/Training Program | 3075 Adeline Street, Suite 120, Berkeley, CA 94703 | 2018-09-01 |
1619427549 | Sigal Gafni | Occupational Therapist | 1622 Parker St. Apt. 1, Berkeley, CA 94703 | 2016-10-04 |
1750741138 | Ane Becker | Community Health Worker | 2026 Woolsey St, Berkeley, CA 94703 | 2016-02-29 |
1245697135 | Sara Dinome Teel Vargas | Chiropractor | 3286 Adeline St., Suite 9, Berkeley, CA 94703 | 2016-01-22 |
1083081608 | Olivia Debree | Nurse Practitioner | 3075 Adeline Street, Suite 280, Lifelong Medical Care, Ashby Health Center, Berkeley, CA 94703 | 2015-08-31 |
1962885988 | Caro Grosvenor | Marriage & Family Therapist | 1511 Ada Street, Berkeley, CA 94703 | 2015-07-08 |
1619378452 | Myles Malone | Counselor | 2413 Jefferson Ave., Berkeley, CA 94703 | 2014-09-11 |
1013340223 | Denise Daniel | Acupuncturist | 6222 La Salle Ave Suite B, Oakland, CA 94703 | 2013-08-12 |
1104126200 | Iramis Kouromenos | Dental Hygienist | 1721 University Ave Apt#209, Berkeley, CA 94703 | 2010-10-25 |
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Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821698887 | Ka Yin Emma Liu | Counselor | 1936 University Avenue, Partnerships for Trauma Recover, Suite 191, Berkeley, CA 94704 | 2020-10-29 |
1871012187 | Brianna Mone'e Barabara Gabriel | Counselor | 1524 Dwight Way, Berkeley, CA 94703-1802 | 2017-09-18 |
1922525120 | Patrice Werling | Counselor | 1918 University Avenue, Suite 2b, Berkeley, CA 94704 | 2017-08-28 |
1942721824 | Laya Greyson | Counselor | Po Box 3037, Berkeley, CA 94703-0037 | 2017-06-30 |
1851848105 | Martin Silva | Counselor | 2447 Prince St, Berkeley, CA 94705-2021 | 2016-09-03 |
1619377793 | Arthur Kleinberg | Counselor | 1918 University Ave # 2b, Berkeley, CA 94704 | 2014-08-26 |
1841547346 | Kia Shaun Walton | Counselor | 2223 Martin Luther King Jr. Way, Berkeley, CA 94704 | 2012-08-14 |
1659633667 | Rachel Longan | Counselor | 1919 Addison St Ste 301, Berkeley, CA 94704-1143 | 2012-06-14 |
1043598360 | Wade Meyer | Counselor | 2000 Hearst Ave Ste 203a, Berkeley, CA 94709-2260 | 2011-08-03 |
1518255892 | Erika D Huguenard | Counselor | 2811a College Avenue, Berkeley, CA 94705 | 2011-07-20 |
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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.