THOMAS JACOBS (NPI# 1164561593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164561593 |
| Entity Type | Individual |
| Full Name | THOMAS JACOBS |
| Credential | MA, LMFT |
| Practice Address |
4500 Park Glen Rd #150 St Louis Park MN 55416-4871 |
| Practice Telephone | 6128729446 |
| Mailing Telephone | 6128729446 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 0122 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790201598 | Thomas Larue Jacobs | Nurse Practitioner | 475 S Columbia River Hwy Ste 105, Saint Helens, OR 97051-2860 | 2017-08-14 |
| 1760570725 | Thomas Price Jacobs | Internal Medicine | 161 Ft Washington Avenue, New York, NY 10032-3713 | 2006-10-11 |
| 1730114067 | Thomas A Jacobs | Podiatrist | 1900 Tenth Avenue, Ste 120, Columbus, GA 31901 | 2006-07-12 |
| 1285970178 | Thomas Q. Jacobs | Chiropractor | 2030 Bee Ridge Rd, Natural Healing Arts, Sarasota, FL 34239-6108 | 2012-12-20 |
| 1518229673 | Thomas A Jacobs | Dentist | 450 Sutter St, Suite #2028, San Francisco, CA 94108-4206 | 2012-06-13 |
| 1255632071 | Thomas Jacobs | Social Worker | 2100 Goshen Rd, Fort Wayne, IN 46808-1493 | 2010-11-10 |
| 1689893463 | Thomas Gregory Jacobs | Dentist | 1601 Rickenbacker Dr, Suite #7, Sun City Center, FL 33573 | 2007-04-24 |
| 1336218395 | Thomas T Jacobs | Massage Therapist | 113 Willow Ln, Bristol, IL 60512-9711 | 2006-11-06 |
| Street Address |
4500 PARK GLEN RD #150 |
| City | ST LOUIS PARK |
| State | MN |
| Zip Code | 55416-4871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265427629 | Renee T Vonweiss | Psychologist | 4500 Park Glen Rd, Suite 450, St Louis Park, MN 55416-4871 | 2005-09-13 |
| 1235524521 | Dawn Draayer-thibodeau, LLC | Social Worker | 4500 Park Glen Rd, Suite 155, St Louis Park, MN 55416-4871 | 2015-04-02 |
| 1457757957 | Benjamin Powers | Counselor | 4500 Park Glen Rd, Suite 155, St Louis Park, MN 55416-4871 | 2014-11-10 |
| 1891118931 | Brighton Hospice Minnesota, LLC | Hospice Care, Community Based | 4500 Park Glen Rd, Suite 475, St Louis Park, MN 55416-4871 | 2014-01-26 |
| 1609214311 | Susan E Nicol Phd LLC | Psychologist | 4500 Park Glen Rd, Suite 270, St Louis Park, MN 55416-4871 | 2013-06-05 |
| 1477859940 | W Wade Phd Lp LLC | Clinic/Center | 4500 Park Glen Rd, Suite 270, St Louis Park, MN 55416-4871 | 2011-02-01 |
| 1851603393 | Wendy Ann Wade | Psychologist | 4500 Park Glen Rd, Suite 360, St Louis Park, MN 55416-4871 | 2010-07-13 |
| 1679896682 | Janey Dorgan Nelson | Social Worker | 4500 Park Glen Rd, Suite 155, St Louis Park, MN 55416-4871 | 2010-03-04 |
| 1598800146 | Franklin Clinic, Ltd. | Psychologist | 4500 Park Glen Rd, #150, St Louis Park, MN 55416-4871 | 2007-02-21 |
| 1699814111 | Franklin Clinic, Ltd | Marriage & Family Therapist | 4500 Park Glen Rd, #150, St Louis Park, MN 55416-4871 | 2007-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
| 1598307860 | Ayman Abulaziz Mohamed | Counselor | 4326 Park Glen Rd, St Louis Park, MN 55416 | 2019-10-08 |
| 1831758929 | Ally Group Homes LLC | Assisted Living Facility | 2944 Princeton Ave South, Saint Louis Park, MN 55416 | 2019-06-11 |
| 1609371525 | Heather Margaret Flatgard | Chiropractor | 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 | 2018-03-25 |
| 1942702394 | Polaris Pharmacy Services of Minnesota, LLC | Pharmacy | 4220 Park Glen Road, St. Louis Park, MN 55416 | 2018-03-01 |
| 1316469760 | Evert Ray Boyd | Psychologist | 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 | 2017-07-07 |
| 1861941684 | Amanda Marie Tapper | Marriage & Family Therapist | 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 | 2016-09-22 |
| 1326410416 | Clear Health Chiropractic LLC | Chiropractor | 5614 W 36th St, St. Louis Park, MN 55416 | 2015-10-28 |
| 1568897833 | Kay Elizabeth Lichtenberger | Physical Therapist | 4415 W 36.5 St, St. Louis Park, MN 55416 | 2013-09-05 |
| 1710221510 | Aaron Christopher Oppelt | Counselor | 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 | 2012-11-16 |
| Find all providers in zip 55416 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942854252 | Emilee Marie Rodriguez | Marriage & Family Therapist | 1000 Shelard Pkwy Ste 220, St Louis Park, MN 55426-4911 | 2019-07-25 |
| 1609434174 | Efren Francisco Solanas | Marriage & Family Therapist | 5407 Excelsior Blvd Ste A, St Louis Park, MN 55416-2932 | 2019-05-30 |
| 1568984987 | Kathryn Kadleck | Marriage & Family Therapist | 5407 Excelsior Blvd Ste Ab&e, St Louis Park, MN 55416-2929 | 2017-07-07 |
| 1275076564 | Aria Counseling, LLC | Marriage & Family Therapist | 6524 Walker St, Suite 209, St Louis Park, MN 55426-4238 | 2016-11-18 |
| 1861941684 | Amanda Marie Tapper | Marriage & Family Therapist | 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 | 2016-09-22 |
| 1649635749 | Rachel Ellen Miller Jacobsen | Marriage & Family Therapist | 6524 Walker St Ste 209, St Louis Park, MN 55426-4245 | 2015-12-16 |
| 1295072783 | Angela Josefina Mendez | Marriage & Family Therapist | 4725 Minnetonka Blvd, Apt 102, St Louis Park, MN 55416-5711 | 2013-01-03 |
| 1831478700 | Jeffrey Marc Rosenfeld | Marriage & Family Therapist | 4730 Park Commons Dr Unit 407, St Louis Park, MN 55416-5219 | 2011-08-10 |
| 1457512196 | Molly Charlotte Abeln | Marriage & Family Therapist | 5354 Parkdale Dr Fl 2, St Louis Park, MN 55416-1603 | 2008-06-24 |
| 1891988234 | Molly Tannuzzo | Marriage & Family Therapist | 715 Florida Ave S Ste 307, St Louis Park, MN 55426-1759 | 2007-08-20 |
| Find all providers in ST LOUIS PARK | ||||
| City | ST LOUIS PARK |
| Zip Code | 55416 |
Please comment or provide details below to improve the information on THOMAS JACOBS.
| 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.