CHAD E JACOBS


Address: 3540 W Douglas Ave, Wichita, KS 67203-5455
Phone: 3169432051

CHAD E JACOBS (NPI# 1699037671) 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) 1699037671
Entity Type Individual
Full Name CHAD E JACOBS
Credential LAC
Practice Address 3540 W Douglas Ave
Wichita
KS 67203-5455
Mailing Address 900 E Laharpe St
Kirksville
MO 63501-4520
Practice Telephone 3169432051
Practice Fax Number 3169432192
Mailing Telephone 6606651962
Mailing Fax Number 6606653989
Enumeration Date 2012-06-14
Last Update Date 2012-06-14
Gender Code M
Is Sole Proprietor N

Taxonomy

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

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1689006850 Chad Christopher Jacobs Counselor 720 Se Washington St, Hillsboro, OR 97123-4230 2013-07-30
1073669164 Chad Stuart Jacobs Chiropractor 528 S Otterbein Ave, Westerville, OH 43081-2913 2007-01-25
1801909213 Chad E Jacobs Surgery 1875 W Dempster St, Suite 580, Park Ridge, IL 60068-1186 2006-08-17

Office Location

Street Address 3540 W DOUGLAS AVE
City WICHITA
State KS
Zip Code 67203-5455

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659502375 Debra M Kraai Counselor 3540 W Douglas Ave, Wichita, KS 67203-5455 2009-07-29
1598183048 Krista Casmaer Counselor 3540 W Douglas Ave, Wichita, KS 67203-5455 2014-04-02
1992121255 John Buckley Counselor 3540 W Douglas Ave, Wichita, KS 67203-5455 2014-03-11
1740542729 Carla J Phipps Counselor 3540 W Douglas Ave, Wichita, KS 67203-5455 2012-06-14
1215296587 Heath W Bechler Counselor 3540 W Douglas Ave, Wichita, KS 67203-5455 2012-05-08
1821379603 Randolph J Paxson Social Worker 3540 W Douglas Ave, Wichita, KS 67203-5455 2011-09-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194372342 Briana Renea Drury Occupational Therapist Via Christi Village 777 N Mclean Blvd, Wichita, KS 67203 2019-08-22
1568991826 Kansas Transportation Services Transportation Broker 3536 W 2nd St N, # 503, Wichita, KS 67203 2017-06-08
1326590621 Katherine Renee Newby Marriage & Family Therapist 930 W Douglas Ave # G, Wichita, KS 67203 2016-11-03
1376093211 Stellar Home Health LLC Home Health 2525 W 13th St North, Suite 300, Wichita, KS 67203 2016-10-04
1972966497 David Duane Sorrick Marriage & Family Therapist 1999 North Amidon, Wichita, KS 67203 2016-04-01
1285004978 M. Sullivan Chiropractic LLC Chiropractor 728 W. Douglas Ave, Wichita, KS 67203 2015-10-07
1740664648 Miketo Michelle Kirk Counselor 2050 West 11th St., Wichita, KS 67203 2015-07-10
1063895209 Let's Talk Therapy and Supervision Inc Social Worker 2458 W Newell St, Wichita, KS 67203 2015-07-07
1396147096 Heather Ann Shelton Counselor 1919 N Amidon Ave Ste 108, Wichita, KS 67203 2014-09-24
1538568456 Patricia D. Riley Social Worker 1900 N Amidon Ave Ste 210, Wichita, KS 67203 2014-08-15
Find all providers in zip 67203

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

NPI Name Taxonomy Address Enumeration
1679194989 Matthew Rathbun Counselor 551 S Holland Ln, Wichita, KS 67209-2007 2020-04-28
1275168064 Katherine Fibert Counselor 9019 W 10th St N # W10th, Wichita, KS 67212-4020 2020-03-12
1275011462 Tag Treatment Center LLC Counselor 1999 N Amidon Ave Ste 335, Wichita, KS 67203-2152 2018-07-31
1538675137 Karmeleta Burnett Counselor 2201 E 13th St N Ste E, Wichita, KS 67214-1903 2017-12-18
1477072627 H. Wayne Simpson Counselor 3835 W Douglas Ave, Wichita, KS 67213-2408 2017-09-19
1558887901 Shonnetta Lachan Gabriel Counselor 2707 E. 21st St. N, Wichita, KS 67214 2017-08-17
1548709520 Lorna Rae Stoecklein Counselor 1337 N Meridian Ave Ste 5, Wichita, KS 67203-4641 2017-02-23
1871037481 Chelsea Ajuka Anukam Counselor 801 E Douglas Ave Fl 2, Wichita, KS 67202-3548 2016-12-15
1952850653 Rachel J Johnson Counselor 805 N Volutsia, Wichita, KS 67214 2016-09-23
1154877603 Alicia Rose Landrum Counselor 515 N Ridge Rd Ste 105, Wichita, KS 67212 2016-08-25
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Competitor

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City WICHITA
Zip Code 67203

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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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