KAREN DEANE JACOBSEN LICENSED COUNSELOR NPI 1053527390

NPI Information

NPI: 1053527390
Provider Name: KAREN DEANE JACOBSEN, LICENSED COUNSELOR
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
1003 KOALA AVE
OMAK, WA
ZIP 98841
Phone: (509) 422-5700
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Karen Deane Jacobsen, LICENSED COUNSELOR is a counselor in Omak, WA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Karen Deane Jacobsen, LICENSED COUNSELOR NPI is 1053527390. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1003 KOALA AVE
OMAK, WA
ZIP 98841-247
Phone: (509) 422-5700
Fax: (509) 422-7680

The enumeration date for this NPI number is 5/15/2007 and was last updated on 5/14/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		LH00007846	WASHINGTON	Yes
2	101YM0800X	Counselor	Mental Health	LH00007846	WASHINGTON	No

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	LH00007846	OTHER	WASHINGTON	STATE LICENSE
2	2038885	MEDICAID	WASHINGTON
3	1053527390	OTHER	WASHINGTON	SBIRT

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: 5/5/2024

NPI Synchronization or Removal

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