TIFFANY S. JACOBS (NPI# 1124227541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124227541 |
| Entity Type | Individual |
| Full Name | TIFFANY S. JACOBS |
| Credential | MA, LPC |
| Practice Address |
3073 Panthersville Rd Decatur GA 30034-3828 |
| Practice Telephone | 4042442455 |
| Practice Fax Number | 4042123609 |
| Mailing Telephone | 4042442455 |
| Mailing Fax Number | 4042123609 |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2012-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356800486 | Tiffany Jacobs | Counselor | 108 W North Main St Ste 1, Richmond, MO 64085-1701 | 2019-03-18 |
| 1528459096 | Tiffany Jacobs | Specialist | 11098 W Jewell Ave, Suite A5, Lakewood, CO 80232-6123 | 2015-02-05 |
| 1437671914 | Tiffany Jacobs | Physical Therapy Assistant | 3110 Gracefield Rd, Silver Spring, MD 20904-1820 | 2017-07-17 |
| 1922304955 | Tiffany Jacobs | Case Manager/Care Coordinator | 140 South Holly Street, Medford, OR 97501 | 2011-02-09 |
| 1194928465 | Tiffany Markey Jacobs | Speech-Language Pathologist | 1200 1st St Ne Fl 9, Washington, DC 20002-7953 | 2007-06-06 |
| Street Address |
3073 PANTHERSVILLE RD |
| City | DECATUR |
| State | GA |
| Zip Code | 30034-3828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841270998 | Gary A. Debacher | Psychologist | 3073 Panthersville Rd, Decatur, GA 30034-3828 | 2006-01-17 |
| 1679173686 | Kamirah Nishae Johnson | Social Worker | 3073 Panthersville Rd, Decatur, GA 30034-3828 | 2020-10-28 |
| 1407361918 | Comeika Towanna Norwood-sprinkle | Respiratory Therapist, Registered | 3073 Panthersville Rd, Decatur, GA 30034-3828 | 2017-12-06 |
| 1538613179 | Franklin Igbin Omorogbe | Registered Nurse | 3073 Panthersville Rd, Decatur, GA 30034-3828 | 2016-08-11 |
| 1265807135 | Damika Green | Respiratory Therapist, Registered | 3073 Panthersville Rd, Decatur, GA 30034-3828 | 2015-12-03 |
| 1306242508 | Sonja Bush | Respiratory Therapist, Certified | 3073 Panthersville Rd, Decatur, GA 30034-3828 | 2014-11-15 |
| 1407137250 | Georgia Regional Hospital | General Acute Care Hospital | 3073 Panthersville Rd, Decatur, GA 30034-3828 | 2011-09-07 |
| 1235454257 | Ga Department of Behavioral Health and Developmental Disabilities | Psychiatric Hospital | 3073 Panthersville Rd, Decatur, GA 30034-3828 | 2010-04-01 |
| 1538398375 | Aaron Cornelius Clark | Psychiatry & Neurology | 3073 Panthersville Rd, Decatur, GA 30034 | 2009-07-14 |
| 1548497324 | Huzaifa Abukari Seidu | Psychiatry & Neurology | 3073 Panthersville Rd, Georgia Regional Hospital, Decatur, GA 30034-3828 | 2009-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689289803 | Kalesha Uneek Presswood | Behavior Technician | 5361 Roswell Rd, Atlanta, GA 30034 | 2020-09-14 |
| 1447876768 | Rosemary Maines | Recreation Therapist | The Maines Group LLC Dba Maines Health and Wellness, 3461 Jessica Run, Decatur, GA 30034 | 2020-06-23 |
| 1437775764 | The Maines Group, LLC | Adult Companion | The Maines Group, LLC Dba Maines Health and Wellness, 3461 Jessica Run, Decatur, GA 30034 | 2020-06-23 |
| 1801351994 | Anthony E. Parrish, D.d.s., PC | Dentist | 3653 Flakes Mill Road, Suite E, Deactur, GA 30034 | 2019-02-04 |
| 1164916813 | Lenina O Chi-ukpai | Nurse Practitioner | 2942 Secretariat Ct, Decatur, GA 30034 | 2018-06-17 |
| 1154662765 | Zackery Kanel Thomas | Driver | 2782 Green Marsh Court, Decatur, GA 30034 | 2013-03-06 |
| 1033472642 | Lakeba Hibbler Williams | Counselor | 4147 Flat Shoals Pkwy, Decatur, GA 30034 | 2012-06-19 |
| 1164789632 | Foot Solutions of Georgia | Durable Medical Equipment & Medical Supplies | 3011 S Rainbow Dr, Suite 160, Decatur, GA 30034 | 2012-04-20 |
| 1699096172 | Wanda P Garrett | Social Worker | 3013 Rainbow Drive, Suite 112-e, South Dekalb Office Park, Decatur, GA 30034 | 2010-06-18 |
| 1245558022 | Teresa Behrend Fletcher | Counselor | 3915 Brookside Pkwy, Decatur, GA 30034 | 2010-05-04 |
| Find all providers in zip 30034 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043824014 | Magee Madry Counseling Services, LLC | Counselor | 2719 Apsley Way Sw, Decatur, AL 35603-3367 | 2020-09-07 |
| 1174141154 | Strong Counseling and Consulting | Counselor | 2107 N Decatur Rd Ste 711, Decatur, GA 30033-5305 | 2020-07-07 |
| 1982221917 | Jasmine Mcghee | Counselor | 2095 Manhattan Pkwy, Decatur, GA 30035-2252 | 2020-06-25 |
| 1851925218 | Nikkita Nelson | Counselor | 315 W Ponce De Leon Ave Ste 300, Decatur, GA 30030-2481 | 2020-02-25 |
| 1205476652 | Ameta Deborah Jasper | Counselor | 125 Clairemont Ave Ste 300, Decatur, GA 30030-2551 | 2020-01-14 |
| 1588208979 | Amanda Nesbitt | Counselor | 173 Pine Tree Cir, Decatur, GA 30032-1145 | 2019-10-29 |
| 1295386423 | Brentia J Caldwell | Counselor | 3205 River Shoals Cv, Decatur, GA 30034-6778 | 2019-09-29 |
| 1861044703 | Latasha Heinzen | Counselor | 2042 Beltline Rd Suite 120a, Decatur, AL 35602 | 2019-07-11 |
| 1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
| 1386107811 | Chardonnay Patterson | Counselor | 3629 Occidental Ct, Decatur, GA 30034-5502 | 2019-04-11 |
| Find all providers in DECATUR | ||||
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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.