Kristan Courtiney M Jacobs · Mental Health Counselor

22 W Pennsylvania Ave Ste 414, Towson, MD 21204-5003

Overview

Kristan Courtiney M Jacobs is a Mental Health Counselor practicing in Towson, Maryland. The National Provider Identifier (NPI) is #1083420723, which was assigned on December 7, 2024, and the registration record was last updated on December 7, 2024. The practitioner's main practice location is at 22 W Pennsylvania Ave Ste 414, Towson, MD 21204-5003; the contact telephone number is 4433773605. The primary taxonomy of Kristan Courtiney M Jacobs is Mental Health Counselor (101YM0800X), with specialization in Mental Health. Kristan Courtiney M Jacobs is licensed to practice in the state of Maryland (#LC14622).

Provider Information

NPI 1083420723
Entity Type Individual
Provider Name KRISTAN COURTINEY M JACOBS
Gender Female
Credential LCPC
Practice Address 22 W Pennsylvania Ave Ste 414
Towson
MD 21204-5003
Practice Telephone 4433773605
Mailing Address 22 W Pennsylvania Ave Ste 414
Towson
MD 21204-5003
Certification Date 2024-12-07
Enumeration Date 2024-12-07
Last Update Date 2024-12-07
Is Sole Proprietor N

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y101YM0800XCounselorMental HealthLC14622MD

Taxonomy Information

Primary Taxonomy

Code 101YM0800X
Taxonomy Mental Health Counselor
Classification Counselor
Specialization Mental Health
Grouping Behavioral Health & Social Service Providers
Definition: Definition to come...

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Location Information

Street Address 22 W PENNSYLVANIA AVE STE 414
City TOWSON
State MD
Zip Code 21204-5003
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Deja' Moses 22 W Pennsylvania Ave Ste 414, Towson, MD 21204-5003Professional Counselor2021-02-23
Empathetic Connections LLC 22 W Pennsylvania Ave Ste 414, Towson, MD 21204-5017Mental Health Clinic/Center (Including Community Mental Health Center)2019-08-13
Desirae Browne 22 W Pennsylvania Ave Ste 414, Towson, MD 21204-5003Mental Health Counselor2024-05-15

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Trina N Davenport 22 W Pennsylvania Ave Ste 405, Towson, MD 21204-5003Home Health Agency2024-04-02

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Angela Michelle Hester 6525 N Charles St #085, Towson, MD 21204Psychiatric/Mental Health Nurse Practitioner2018-07-15
Mosaic Community Services, Inc. 6501 North Charles Street - Norriscottage, Baltimore, MD 21204Community/Behavioral Health Agency2021-09-14
Sarita Ford 300 Allegheny Ave Ste 101, Baltimore, MD 21204School Social Worker2019-03-01
Debra James 6901 N. Charles Street, Towson, MD 21204Professional Counselor2019-10-02
Sarah R Stephens 7600 Osler Drive, Suite 402, Towson, MD 21204Clinical Psychologist2019-11-07
J. Dixon Hills 1055 West Joppa Rd, Ste 253, Towson, MD 21204Internal Medicine Physician2021-03-10
Samantha Ann Rogers 222 Bosley Avenue, Suite C3, Towson, MD 21204Psychiatric/Mental Health Nurse Practitioner2018-08-14
Hannah Kimberly Jefferson 7407 York Road, Towson, MD 21204Acupuncturist2018-08-29
Zahid Jamil 6565 N. Charles Street, Ste 203, Towson, MD 21204Student in an Organized Health Care Education/Training Program2022-05-03
Sheppard Pratt Non Contracted Services, LLC 6525 N. Charles Street, Gibson Building, Towson, MD 21204Psychiatry Physician2020-05-08
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Similar Providers

Providers with similar names

Provider NameAddressTaxonomyEnumeration Date
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Kristan Crain · Kristan Clary 1628 E Page Ave, Malvern, AR 72104-4524Social Worker2014-02-06
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Kristan L. Watkins · Kristan Michelle Lennon 1717 S J St, Tacoma, WA 98405-4933Clinical Social Worker2008-09-10
Kristan Chow · Kristan Holding 912 Ne Kelly Ave Ste 200, Gresham, OR 97030-5637Behavior Technician2019-08-07
Kristan M Mclean · Kristan M Reagan 408 Highland Ave, Suite 7 Building A, Cheshire, CT 06410-2525Clinical Social Worker2012-04-13
Kristan Marie Boutwell · Kristan Marie Natale 300 Longwood Ave, Main Building, 7 North Nicu, Boston, MA 02115-5724Pediatric Nurse Practitioner2011-07-29

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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.