DR. SUE L. JACOBS (NPI# 1770718603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770718603 |
| Entity Type | Individual |
| Full Name | DR. SUE L. JACOBS |
| Credential | PHD |
| Practice Address |
16456 S Fellows St Olathe KS 66062-7862 |
| Mailing Address |
1011 King Street Overland Park KS 66210 |
| Practice Telephone | 8168209740 |
| Mailing Telephone | 9136423134 |
| Mailing Fax Number | 9137666037 |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2009-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295724458 | Sue S. Jacobs | Advanced Practice Midwife | 33255 9th St, Union City, CA 94587-2137 | 2005-10-19 |
| Street Address |
16456 S FELLOWS ST |
| City | OLATHE |
| State | KS |
| Zip Code | 66062-7862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326672353 | Skylar Moore | Behavioral Analyst | 620 S. Rodgers Rd, Olathe, KS 66062 | 2020-02-28 |
| 1013554179 | Maureen Nicole Hernandez | Counselor | 14201 S Mur-len Rd, Suite 106, Olathe, KS 66062 | 2019-12-06 |
| 1326505256 | Gateway of Hope Minisitries Inc | Counselor | 801 N. Murlen Suite 111, Olathe, KS 66062 | 2019-02-27 |
| 1235607698 | Eric Kilii Malombe | Driver | 17525 S Roundtree Drive, Olathe, KS 66062 | 2018-11-04 |
| 1013482504 | Jacqueline Maria Loconsolo | Counselor | 14201 S Mur Len Rd Ste 106, Olathe, KS 66062 | 2018-10-10 |
| 1245710193 | Olathe South Dentistry, Pa | Dentist | 16587 W 151st St, Olathe, KS 66062 | 2018-08-20 |
| 1801389671 | Karen Sue Tennyson | Behavior Technician | 14136 East 135th St., Olathe, KS 66062 | 2018-06-07 |
| 1861901639 | Phye Family Dentistry, P.a. | Dentist | 401 S. Clairborne, Suite A, Olathe, KS 66062 | 2017-09-25 |
| 1689192619 | Briana Purkapile | Occupational Therapy Assistant | 17336 West 158th St., Olathe, KS 66062 | 2017-08-30 |
| 1629591342 | Sbl Enterprises, LLC | Occupational Therapist | 14154 W 156th Lane, Olathe, KS 66062 | 2017-07-25 |
| Find all providers in zip 66062 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972101871 | Shara Breeze | Counselor | 815 S Clairborne Rd Ste 225, Olathe, KS 66062-1790 | 2020-10-13 |
| 1811338338 | Lucilla Hustad Brown | Counselor | 115 N. Cooper, Olathe, KS 66061 | 2013-07-12 |
| 1538500137 | David Brown | Counselor | 115 N Cooper St, Olathe, KS 66061-3434 | 2013-07-11 |
| 1679813083 | David Earl Kellar | Counselor | 1748 W Normandy St, Olathe, KS 66061-3811 | 2013-02-21 |
| 1578814091 | Elliot C Pachter | Counselor | 230 S Kansas Ave, Olathe, KS 66061-4437 | 2012-09-24 |
| 1871888701 | Barry Reed Counseling Services, Inc. | Counselor | 108 E Poplar St, Olathe, KS 66061-3354 | 2011-06-20 |
| 1750550976 | Leslie Sewester | Counselor | 302 S Clairborne Rd, Suite B, Olathe, KS 66062-1776 | 2008-02-21 |
| 1255494464 | Share It Inc. | Counselor | 15022 W 128th St, Olathe, KS 66062-5809 | 2006-12-18 |
| 1750920963 | Alfred Boyle Hoppert | Counselor | 21344 W 153rd St, Olathe, KS 66061-5413 | 2020-01-06 |
| 1265993067 | Isar Amy Anderson | Counselor | 920 W Spruce St, Olathe, KS 66061 | 2019-03-26 |
| Find all providers in OLATHE | ||||
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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.