DAVID ALAN JACOBS


Address: 3900 Jermantown Rd Ste 200, Fairfax, VA 22030-4900
Phone: 7039345475

DAVID ALAN JACOBS (NPI# 1609898154) 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) 1609898154
Entity Type Individual
Full Name DAVID ALAN JACOBS
Credential LPC
Practice Address 3900 Jermantown Rd Ste 200
Fairfax
VA 22030-4900
Mailing Address Ads 3900jermantown Rd.
Suite 200
Fairfax
VA 22030
Practice Telephone 7039345475
Mailing Telephone 7039345475
Enumeration Date 2006-07-24
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
0701001017 VA Behavioral Health & Social Service Providers

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Office Location

Street Address 3900 JERMANTOWN RD STE 200
City FAIRFAX
State VA
Zip Code 22030-4900

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861796971 Michelle E. Booth Social Worker 3900 Jermantown Rd Ste 200, Fairfax, VA 22030-4900 2011-01-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205449477 Perry Camp Jr. Psychologist 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 2020-08-28
1952940322 Brightview Fair Oaks, LLC Alzheimer Center (Dementia Center) 12725 Lee Highway, Fairfax, VA 22030 2020-01-02
1245871524 Tori Sprowl Behavioral Analyst 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 2019-10-08
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1497221303 Kahak, Inc. Day Training, Developmentally Disabled Services 10560 Main Street Suite Ps100, Fairfax, VA 22030 2018-10-17
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1205339538 Rachael Lee Greene Social Worker 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 2018-03-13
1558863027 Jacqueline Renee Bauer Skilled Nursing Facility 10701 Main Street, Fairfax, VA 22030 2018-03-01
1275033607 Philajo Global LLC Non-emergency Medical Transport (VAN) 4521 Billingham Street, Fairfax, VA 22030 2018-02-12
1376050401 Alexander Harrison Counselor 4400 University Drive, Ms 2a2, Fairfax, VA 22030 2018-01-10
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1770959603 Kimberley L Berlin Counselor 10640 Page Ave, Fairfax, VA 22030-4000 2015-08-14
1669852026 Transitions...the Process of Change Counselor 8280 Willow Oaks Corporate Dr, Suite 600, Fairfax, VA 22031-4518 2015-06-01
1861724445 Carolyn Elizabeth Kuchel Counselor 4505 Shirley Gate Rd, Fairfax, VA 22030-5522 2010-02-05
1982938361 William Alberti Prasad Counselor 4100 Chain Bridge Rd, 6-121, Fairfax, VA 22030-7003 2009-10-01
1679736342 Maria Christine Hadjiyane Counselor 3615 Chain Bridge Rd Unit I, Integrative Psychotherapy Institute, Fairfax, VA 22030 2008-07-03
1437223922 Life Line Addictions Foundation Inc. Counselor 10374 Democracy Ln Ste A, Fairfax, VA 22030-2557 2006-11-17
1932121290 Gail W Campbell Counselor 10390 Democracy Ln, Fairfax, VA 22030-2522 2006-07-24
1053339929 Roberta E Severo Counselor 3912 Pineland St, Fairfax, VA 22031-3321 2006-07-18
1407453442 Vilma Gisell Gaitan Valdizan Counselor 8221 Willow Oaks Corporate Dr, Fairfax, VA 22031-4512 2020-10-02
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Competitor

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City FAIRFAX
Zip Code 22030

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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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