STEPHANIE MARION JACOBS (NPI# 1760978985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760978985 |
| Entity Type | Individual |
| Full Name | STEPHANIE MARION JACOBS |
| Credential | MA |
| Practice Address |
325 Illinois Rt 2 Dixon IL 61021-9118 |
| Practice Telephone | 8152846611 |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2018-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134633795 | Stephanie Jacobs | Massage Therapist | 5195 Main St, Williamsville, NY 14221-5385 | 2017-11-18 |
| 1740791086 | Stephanie L Jacobs | Registered Nurse | 4911 7th Pl Ne, Washington, DC 20017-2328 | 2017-10-13 |
| 1487985396 | Stephanie Jacobs | Psychologist | 1140 E Ocean Blvd Unit 124, Long Beach, CA 90802 | 2010-01-18 |
| 1639298441 | Stephanie B Jacobs | Nurse Practitioner | 720 Penn Ave, Pittsburgh, PA 15221-2217 | 2007-03-29 |
| 1497314496 | Stephanie Jacobs | Social Worker | 1111 E End Blvd, Wilkes Barre, PA 18711-0030 | 2019-06-12 |
| 1033681770 | Stephanie Erin Jacobs | Case Manager/Care Coordinator | 2621 Victory Pkwy, Cincinnati, OH 45206-1754 | 2018-12-19 |
| 1942557699 | Stephanie Jacobs | Behavioral Analyst | 9755 Lincoln Village Dr, Sacramento, CA 95827-3334 | 2012-08-13 |
| 1982983573 | Stephanie Jacobs | Counselor | 1 N Broadway, White Plains, NY 10601-2310 | 2011-08-12 |
| 1689989030 | Stephanie Joy Jacobs | Social Worker | 189 Storrs Rd, Mansfield Center, CT 06250-1683 | 2010-08-10 |
| 1699093666 | Stephanie Adele Jacobs | Obstetrics & Gynecology | 6569 North Charles Street, Ppw 307, Baltimore, MD 21204 | 2010-05-14 |
| Street Address |
325 ILLINOIS RT 2 |
| City | DIXON |
| State | IL |
| Zip Code | 61021-9118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225237233 | Maria D Ruch | Counselor | 325 Illinois Rt 2, Dixon, IL 61021-9118 | 2007-07-11 |
| 1417558719 | Michael Kenneth Buza | Counselor | 325 Illinois Rt 2, Dixon, IL 61021-9118 | 2020-11-03 |
| 1275133514 | Stephanie Mae Roman | Counselor | 325 Illinois Rt 2, Dixon, IL 61021-9118 | 2020-10-27 |
| 1003416520 | Rae Lynn Metzler8 | Counselor | 325 Illinois Rt 2, Dixon, IL 61021-9118 | 2020-10-26 |
| 1477160935 | Anne Fridh | Counselor | 325 Illinois Rt 2, Dixon, IL 61021-9118 | 2020-09-29 |
| 1255948634 | Ashley Nicole Edwards | Social Worker | 325 Illinois Rt 2, Dixon, IL 61021-9118 | 2020-09-29 |
| 1184230856 | Olimpia Bernal | Counselor | 325 Illinois Rt 2, Dixon, IL 61021-9118 | 2020-09-18 |
| 1538772496 | Sierra Nicole Elsbury | Counselor | 325 Illinois Rt 2, Dixon, IL 61021-9118 | 2020-08-28 |
| 1659984953 | Caitlin Joy Refatllari | Counselor | 325 Illinois Rt 2, Dixon, IL 61021-9118 | 2020-08-26 |
| 1811500390 | Tyler Inghram | Counselor | 325 Illinois Rt 2, Dixon, IL 61021-9118 | 2020-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699331082 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1600 South Galena Ave, Dixon, IL 61021 | 2019-05-12 |
| 1285135590 | Richard Allen Sibert | Counselor | 325 Il Route 2,dixon Il, Dixon, IL 61021 | 2018-02-22 |
| 1518485432 | Madeline Luniewicz | Counselor | 325 Il-2, Dixon, IL 61021 | 2017-08-30 |
| 1669992566 | Nicole Marie Shaffer | Specialist/Technologist | 650 Reynoldswood Road, Dixon, IL 61021 | 2017-06-21 |
| 1346660446 | Lydia Sitter | Audiologist | 215 3. 1st Street, Suite 317, Ksb Medical Group, Dixon, IL 61021 | 2014-04-16 |
| 1053600080 | Janet I. Malmberg | Nurse Practitioner | 309 South Galena Ave, Suite 100, Dixon, IL 61021 | 2011-03-30 |
| 1376775262 | Kelly L Klein | Optometrist | 511 Palmyra Street, Ksb Eye & Vision Care, Dixon, IL 61021 | 2009-08-11 |
| 1013119106 | Michael Joseph Sarno | Physical Therapist | 401 E. First Street, Dixon, IL 61021 | 2007-06-01 |
| 1891905600 | Thomas G. Gehlbach | Internal Medicine | 215 E 1st St Ste 111, Dixon, IL 61021 | 2007-05-23 |
| 1699987230 | Sameer Jain | Family Medicine | 102 S. Hennepin Ave., Ksb Medical Group, Dixon, IL 61021 | 2007-05-04 |
| Find all providers in zip 61021 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679033773 | Teresa Lynn Mylan | Counselor | 1310 W 9th St, Dixon, IL 61021-3363 | 2019-03-23 |
| 1487172755 | Sarah Hott | Counselor | 325 State Route 2, Dixon, IL 61021-9118 | 2017-09-06 |
| 1518485432 | Madeline Luniewicz | Counselor | 325 Il-2, Dixon, IL 61021 | 2017-08-30 |
| 1700260536 | Donna Walls | Counselor | 208 Lincoln Way, Dixon, IL 61021-2019 | 2015-07-10 |
| 1831572312 | Ashley Snyder | Counselor | 325 Il 2, Dixon, IL 61021-8293 | 2015-07-02 |
| 1679962443 | Becky Renee Almeida | Counselor | 22 Solano Dr, Dixon, CA 95620-2826 | 2015-01-17 |
| 1366874737 | Tameka Freeman | Counselor | 1774 Wolverine Rd, Dixon, IL 61021-8712 | 2013-08-07 |
| 1275974578 | Elizabeth Ann Cunningham | Counselor | 144 N Court St, Dixon, IL 61021-1224 | 2013-07-15 |
| 1558610956 | Terri L Stephens | Counselor | 1668 Brandywine Ln, Dixon, IL 61021-8762 | 2012-08-31 |
| 1477801538 | Brandi Steinberg | Counselor | 526 S Peoria Ave, Apt. 2, Dixon, IL 61021-3600 | 2012-08-21 |
| Find all providers in DIXON | ||||
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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.