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).
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 |
Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
---|---|---|---|---|---|---|
Y | 101YM0800X | Counselor | Mental Health | LC14622 | MD |
Code | 101YM0800X |
Taxonomy | Mental Health Counselor |
Classification | Counselor |
Specialization | Mental Health |
Grouping | Behavioral Health & Social Service Providers |
Definition: Definition to come... |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Shannan M Vester | 31 Eider Ln, Topsham, ME 04086-1515 | Mental Health Counselor | 2025-01-11 |
Guiding Hope Sanctuary | 11720 Inglewood Ave, Hawthorne, CA 90250-2033 | Mental Health Counselor | 2025-01-11 |
Integrated Awakening LLC | 5370 Newcombe St, Arvada, CO 80002-4944 | Mental Health Counselor | 2025-01-11 |
Martin Vicente Gonzalez Pacheco | 21620 Ambar Dr, Woodland Hills, CA 91364 | Mental Health Counselor | 2025-01-11 |
Drayton Brooke Doyle | 8767 Carmel Valley Rd, Carmel, CA 93923-7958 | Mental Health Counselor | 2025-01-11 |
Amelie Justine Zichy-Thyssen | 7070 S Union Park Ave, Midvale, UT 84047-4179 | Mental Health Counselor | 2025-01-11 |
Jsn Psychotherapy LLC | 901 Twelve Oaks Center Dr Ste 911, Wayzata, MN 55391-4710 | Mental Health Counselor | 2025-01-11 |
The Wellness Connection, PLLC | 765 Rock Hill Church Rd, Ararat, NC 27007-8308 | Mental Health Counselor | 2025-01-11 |
Robyn Casey Nelson | 1808 South St, Nacogdoches, TX 75964-6120 | Mental Health Counselor | 2025-01-10 |
Brooklyn Leichtnam-Welchlin | 2001 Beam Ave, Maplewood, MN 55109-1401 | Mental Health Counselor | 2025-01-11 |
Find all providers with the same taxonomy |
Street Address |
22 W PENNSYLVANIA AVE STE 414 |
City | TOWSON |
State | MD |
Zip Code | 21204-5003 |
Country | US |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Deja' Moses | 22 W Pennsylvania Ave Ste 414, Towson, MD 21204-5003 | Professional Counselor | 2021-02-23 |
Empathetic Connections LLC | 22 W Pennsylvania Ave Ste 414, Towson, MD 21204-5017 | Mental Health Clinic/Center (Including Community Mental Health Center) | 2019-08-13 |
Desirae Browne | 22 W Pennsylvania Ave Ste 414, Towson, MD 21204-5003 | Mental Health Counselor | 2024-05-15 |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Trina N Davenport | 22 W Pennsylvania Ave Ste 405, Towson, MD 21204-5003 | Home Health Agency | 2024-04-02 |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Angela Michelle Hester | 6525 N Charles St #085, Towson, MD 21204 | Psychiatric/Mental Health Nurse Practitioner | 2018-07-15 |
Mosaic Community Services, Inc. | 6501 North Charles Street - Norriscottage, Baltimore, MD 21204 | Community/Behavioral Health Agency | 2021-09-14 |
Sarita Ford | 300 Allegheny Ave Ste 101, Baltimore, MD 21204 | School Social Worker | 2019-03-01 |
Debra James | 6901 N. Charles Street, Towson, MD 21204 | Professional Counselor | 2019-10-02 |
Sarah R Stephens | 7600 Osler Drive, Suite 402, Towson, MD 21204 | Clinical Psychologist | 2019-11-07 |
J. Dixon Hills | 1055 West Joppa Rd, Ste 253, Towson, MD 21204 | Internal Medicine Physician | 2021-03-10 |
Samantha Ann Rogers | 222 Bosley Avenue, Suite C3, Towson, MD 21204 | Psychiatric/Mental Health Nurse Practitioner | 2018-08-14 |
Hannah Kimberly Jefferson | 7407 York Road, Towson, MD 21204 | Acupuncturist | 2018-08-29 |
Zahid Jamil | 6565 N. Charles Street, Ste 203, Towson, MD 21204 | Student in an Organized Health Care Education/Training Program | 2022-05-03 |
Sheppard Pratt Non Contracted Services, LLC | 6525 N. Charles Street, Gibson Building, Towson, MD 21204 | Psychiatry Physician | 2020-05-08 |
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Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Kristan Gail Jenkins-Mosure | 2799 W Grand Blvd, Detroit, MI 48202-2608 | Body Imaging Physician | 2009-07-01 |
Kristan Marie Warren · Kristan Marie Bell | 320 Executive Dr, Marion, OH 43302-6310 | Social Worker | 2006-11-28 |
Kristan Corrigan · Kristan Grande | 4401 Middle Settlement Rd, New Hartford, NY 13413-5331 | Family Nurse Practitioner | 2020-06-28 |
Kristan Crain · Kristan Clary | 1628 E Page Ave, Malvern, AR 72104-4524 | Social Worker | 2014-02-06 |
Kristan Marie Leonard · Kristan Marie Inman | 289 Olmsted Blvd Ste 1, Pinehurst, NC 28374-8730 | Behavioral Analyst | 2016-08-02 |
Kristan B Knight · Kristan Brooke Baker | 1700 Center St, Mobile, AL 36604-3301 | Neonatal Intensive Care Registered Nurse | 2013-08-21 |
Kristan L. Watkins · Kristan Michelle Lennon | 1717 S J St, Tacoma, WA 98405-4933 | Clinical Social Worker | 2008-09-10 |
Kristan Chow · Kristan Holding | 912 Ne Kelly Ave Ste 200, Gresham, OR 97030-5637 | Behavior Technician | 2019-08-07 |
Kristan M Mclean · Kristan M Reagan | 408 Highland Ave, Suite 7 Building A, Cheshire, CT 06410-2525 | Clinical Social Worker | 2012-04-13 |
Kristan Marie Boutwell · Kristan Marie Natale | 300 Longwood Ave, Main Building, 7 North Nicu, Boston, MA 02115-5724 | Pediatric Nurse Practitioner | 2011-07-29 |
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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 |
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. |