STEPHANIE MARIE VAN JACOBS (NPI# 1790168813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790168813 |
| Entity Type | Individual |
| Full Name | STEPHANIE MARIE VAN JACOBS |
| Credential | LCSW, LAC |
| Practice Address |
9485 W Colfax Ave Lakewood CO 80215-3918 |
| Mailing Address |
145 Main St Broomfield CO 80020-2329 |
| Practice Telephone | 3034250300 |
| Mailing Telephone | 7203383796 |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4141 E Dickenson Pl, Denver, CO 802226012 | 3035046500 |
| Street Address |
9485 W COLFAX AVE |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80215-3918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861574642 | Jefferson Center for Mental Health | Pharmacy | 9485 W Colfax Ave, Lakewood, CO 80215-3918 | 2006-10-20 |
| 1407367337 | Kristi Lynne Snyder | Peer Specialist | 9485 W Colfax Ave, Lakewood, CO 80215-3918 | 2017-10-18 |
| 1144758525 | Kurtt Walton | Nurse Practitioner | 9485 W Colfax Ave, Lakewood, CO 80215-3918 | 2017-05-30 |
| 1285162065 | Danielle Ann Spratt | Counselor | 9485 W Colfax Ave, Lakewood, CO 80215-3918 | 2017-05-24 |
| 1194262691 | Taylor Oliivia Haag | Counselor | 9485 W Colfax Ave, Lakewood, CO 80215-3918 | 2017-01-23 |
| 1346784345 | Sandra Paolini | Pharmacist | 9485 W Colfax Ave, Lakewood, CO 80215-3918 | 2016-12-09 |
| 1285187153 | Erin Isabel Dooley | Counselor | 9485 W Colfax Ave, Lakewood, CO 80215-3918 | 2016-07-27 |
| 1982055802 | Emily Marie Pearl Adams | Counselor | 9485 W Colfax Ave, Lakewood, CO 80215-3918 | 2016-06-22 |
| 1821459702 | Dana Gallagher | Counselor | 9485 W Colfax Ave, Lakewood, CO 80215-3918 | 2016-03-18 |
| 1558720896 | Virginia Low | Counselor | 9485 W Colfax Ave, Lakewood, CO 80215-3918 | 2016-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199566 | Alta Vista Center for Autism | Speech-Language Pathologist | 2001 Hoyt Street, Lakewood, CO 80215 | 2020-06-17 |
| 1871154419 | Ahc of Lakewood, LLC | Skilled Nursing Facility | 1565 Pierson Street, Lakewood, CO 80215 | 2019-06-25 |
| 1235646209 | Ashley Wiersma | Social Worker | 9485 W. Colfax Ave, Lakewood, CO 80215 | 2017-12-29 |
| 1619480563 | Amy Christine Ladebue | Counselor | 2596 Moore St, Lakewood, CO 80215 | 2017-11-14 |
| 1407374408 | Carly Young | Physician Assistant | 11171 W 17th Ave, Apt 303, Lakewood, CO 80215 | 2017-08-30 |
| 1356876700 | Our Family Care Home Assisted Living LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1169 Johnson Street, Lakewood, CO 80215 | 2017-04-24 |
| 1194263251 | Daniela Rosenberg | Student in an Organized Health Care Education/Training Program | 9845 W. Colfax Avenue, Jefferson Center for Mental Health, Lakewood, CO 80215 | 2017-02-08 |
| 1033596747 | Autumn Grove | Physical Therapist | 11185 W. 6th Avenue, Lakewood, CO 80215 | 2015-05-01 |
| 1649690264 | Neil George Norton | Dentist | 9990 W. 26th Ave, Lakewood, CO 80215 | 2014-04-22 |
| 1366873820 | Whitney Anne Post | Counselor | 1439 Estes St., Lakewood, CO 80215 | 2013-12-10 |
| Find all providers in zip 80215 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629604293 | Colorado Home Care Services LLC | Case Manager/Care Coordinator | 895 Brentwood St, Lakewood, CO 80214-4451 | 2020-03-16 |
| 1023672185 | Laura Macalik | Case Manager/Care Coordinator | 725 Airport Rd Ste 2, Lakewood, NJ 08701-5968 | 2019-04-24 |
| 1164998282 | Milenia Ods LLC | Case Manager/Care Coordinator | 2 Sienna Way, Lakewood, NJ 08701-2148 | 2018-10-16 |
| 1619479441 | Jacob House | Case Manager/Care Coordinator | 13420 W Warren Ave, Lakewood, CO 80228-4616 | 2018-03-07 |
| 1831549203 | Diana Lynne Fox | Case Manager/Care Coordinator | 2125 S Ammons St, Lakewood, CO 80227-2409 | 2016-06-16 |
| 1295068146 | Monica Michelle Sheleay | Case Manager/Care Coordinator | 12350 Del Amo Blvd, #2516, Lakewood, CA 90715-1732 | 2009-09-10 |
| 1497914261 | Sarah Mary Shaw | Case Manager/Care Coordinator | 7133 W Virginia Ave Apt 302, Lakewood, CO 80226-3159 | 2008-06-05 |
| 1497952097 | Brandt Joseph Vansickle | Case Manager/Care Coordinator | 1370 Ames St, Lakewood, CO 80214-2218 | 2007-06-28 |
| 1578783106 | Danielle Renee' Sikula | Case Manager/Care Coordinator | 17815 Northwood Ave, Lakewood, OH 44107-2225 | 2007-04-26 |
| 1407482508 | Ramy Elsawah | Case Manager/Care Coordinator | 1215 Route 70 Ste 2001, Lakewood, NJ 08701-7023 | 2020-03-20 |
| Find all providers in LAKEWOOD | ||||
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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.