MS. JACQUELINE KENT JACOBSON (NPI# 1487648085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487648085 |
| Entity Type | Individual |
| Full Name | MS. JACQUELINE KENT JACOBSON |
| Credential | L.P.C. |
| Practice Address |
10721 Main St Suite 2350 Fairfax VA 22030-6914 |
| Practice Telephone | 7035915912 |
| Practice Fax Number | 7035917210 |
| Mailing Telephone | 7035915912 |
| Mailing Fax Number | 7035917210 |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
0701002868 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487913042 | Jacqueline Jacobson | Pharmacist | 2104 Glenhollow St, Westlake Village, CA 91361-2022 | 2012-05-16 |
| 1730334533 | Jacqueline Jacobson | Social Worker | 4020 Folker St., Acmhs, Anchorage, AK 99508 | 2008-11-20 |
| 1538296017 | Jacqueline Y Jacobson | Dentist | 28237 Newhall Ranch Road, Valencia, CA 91355 | 2007-02-28 |
| Street Address |
10721 MAIN ST SUITE 2350 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-6914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386641959 | Raymond James Olkin | Podiatrist | 10721 Main St, Ste 103, Fairfax Medical Center, Fairfax, VA 22030-6914 | 2005-06-28 |
| 1003363003 | Jsa Homecare | Home Health | 10721 Main St, Suite 304, Fairfax, VA 22030-6914 | 2016-09-07 |
| 1609321611 | Complete Dermatology of Virginia, Inc. | Specialist | 10721 Main St, Suite 3100, Fairfax, VA 22030-6914 | 2016-08-19 |
| 1841686953 | Better Life Inc. | Chiropractor | 10721 Main St, 307, Fairfax, VA 22030-6914 | 2015-04-15 |
| 1053718924 | Family Pharmacy, Inc | Pharmacy | 10721 Main St, 107, Fairfax, VA 22030-6914 | 2014-11-20 |
| 1033511324 | Mind Matters Psychiatry, LLC | Clinic/Center | 10721 Main St, Suite 2450, Fairfax, VA 22030-6914 | 2014-09-18 |
| 1093159717 | Maple Chiropractic & Acupuncture Clinic, LLC | Chiropractor | 10721 Main St, Suite # 2500, Fairfax, VA 22030-6914 | 2013-04-24 |
| 1730465212 | William Linwood Outten IIi | Dentist | 10721 Main St, Suite 203, Fairfax, VA 22030-6902 | 2011-10-27 |
| 1679855183 | Julie Elwell | Social Worker | 10721 Main St, Ste. 2350, Fairfax, VA 22030-6914 | 2011-09-12 |
| 1063792448 | Hyun Kyn Choi | Acupuncturist | 10721 Main St, G7, Fairfax, VA 22030-6914 | 2011-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161299 | Julie Embrey Bowman | Counselor | 3929 Old Lee Hwy Ste 92d, Fairfax, VA 22030-2421 | 2020-07-07 |
| 1588282685 | Keystone Therapy Group, LLC | Counselor | 10560 Main St Ste 511, Fairfax, VA 22030-7173 | 2020-07-06 |
| 1356977458 | Lauren Rivers | Counselor | 10650 Main St, Fairfax, VA 22030-3814 | 2020-03-20 |
| 1528694197 | Stephanie Renee Buchanan | Counselor | 8221 Willow Oaks Corporate Dr Ste 3-330k, Fairfax, VA 22031-4512 | 2020-03-16 |
| 1316579261 | Mari-elaine Triolo | Counselor | 8221 Willow Oaks Corporate Dr Ste 401, Fairfax, VA 22031-4512 | 2020-02-09 |
| 1902448251 | Fairfax Therapy Solutions LLC | Counselor | 9675 Main St Ste C, Fairfax, VA 22031-3762 | 2019-10-08 |
| 1790339513 | Lymaraina D'souza | Counselor | 3931 Tallow Tree Pl, Fairfax, VA 22033-2469 | 2019-07-30 |
| 1336709930 | Valerie Gayle Hadeed | Counselor | 3929 Old Lee Hwy Ste 92c, Fairfax, VA 22030-2421 | 2019-06-17 |
| 1487119707 | Abdelwahab Eltayeb Elsirag | Counselor | 12587 Fair Lakes Cir Ste 303, Fairfax, VA 22033-3822 | 2019-02-01 |
| 1558836825 | Monica Jongmin Lee | Counselor | 2850 Hideaway Rd, Fairfax, VA 22031-1331 | 2018-10-12 |
| Find all providers in FAIRFAX | ||||
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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.