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BILL JACOBS LPCC LLC NPI 1457687816


NPI Information

NPI: 1457687816
Provider Name: BILL JACOBS LPCC, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1127 ALAMEDA BLVD NW
SUITE C
ALBUQUERQUE, NM
ZIP 87114
Phone: (505) 379-0810
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BILL JACOBS LPCC, LLC is a mental health counselor in Albuquerque, NM. BILL JACOBS LPCC, LLC NPI is 1457687816. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1127 ALAMEDA BLVD NW
SUITE C
ALBUQUERQUE, NM
ZIP 87114-240
Phone: (505) 379-0810
Fax: (505) 890-6806

The provider's authorized official is William Jacobs .
The authorized official title is Director and has the following contact phone number (505) 379-0810.

The enumeration date for this NPI number is 10/20/2009 and was last updated on 10/20/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental Health0065602NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14243782MEDICAIDNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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