TIMOTHY ALLEN JACOBS (NPI# 1740835503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740835503 |
| Entity Type | Individual |
| Full Name | TIMOTHY ALLEN JACOBS |
| Practice Address |
927 N Pennsylvania St Indianapolis IN 46204-1020 |
| Practice Telephone | 3176869779 |
| Practice Fax Number | 3176865810 |
| Mailing Telephone | 3176869779 |
| Mailing Fax Number | 3176865810 |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2019-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | LCAC LICENSE | 87001577A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609951458 | Timothy Lee Jacobs | Dentist | 2916 W Stolley Park Rd, Suite B, Grand Island, NE 68801-6807 | 2006-10-26 |
| 1407293749 | Timothy Michael Jacobs | Licensed Psychiatric Technician | 1801 Vicente St, San Francisco, CA 94116-2923 | 2013-05-28 |
| 1518904200 | Timothy W Jacobs | Pathology | 1100 9th Ave, Virginia Mason Ctr., Pathology, Seattle, WA 98101-2756 | 2006-06-01 |
| 1063485191 | Timothy W. Jacobs | Family Medicine | 1025 Maine St, Quincy, IL 62301-4038 | 2006-02-09 |
| Street Address |
927 N PENNSYLVANIA ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46204-1020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144202292 | Antonio Carrelli | Psychologist | 927 N Pennsylvania St, Indianapolis, IN 46204-1020 | 2005-11-15 |
| 1427605120 | Tiffany A. Flores | Social Worker | 927 N Pennsylvania St, Indianapolis, IN 46204-1020 | 2019-08-19 |
| 1588219141 | Julia Van Arragon | Nurse Practitioner | 927 N Pennsylvania St, Indianapolis, IN 46204-1020 | 2019-08-09 |
| 1508337502 | Laura Morgan Hollowell | Counselor | 927 N Pennsylvania St, Indianapolis, IN 46204-1020 | 2018-12-17 |
| 1467969154 | Jason Katte | Counselor | 927 N Pennsylvania St, Indianapolis, IN 46204-1020 | 2018-01-04 |
| 1003229154 | Greta Compton | Social Worker | 927 N Pennsylvania St, Indianapolis, IN 46204-1020 | 2014-06-06 |
| 1851713796 | Rachel Halleck | Counselor | 927 N Pennsylvania St, Indianapolis, IN 46204-1020 | 2014-01-13 |
| 1114349081 | Roy Norvell | Counselor | 927 N Pennsylvania St, Indianapolis, IN 46204-1020 | 2014-01-13 |
| 1124440904 | Anna Caldwell I | Social Worker | 927 N Pennsylvania St, Indianapolis, IN 46204-1020 | 2014-01-13 |
| 1598005274 | Volunteers of America of Indiana, Inc | Psychologist | 927 N Pennsylvania St, Indianapolis, IN 46204-1020 | 2013-02-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982245593 | Melvin Jay Prince | Internal Medicine | Gennesaret Free Clinic 615 N Alabama St, Suite 136, Indianapolis, IN 46204 | 2019-10-04 |
| 1487203139 | Elizabeth Ann Wilson | Behavior Technician | 120 N East St Ste 1233, Indianapolis, IN 46204 | 2019-09-05 |
| 1225691207 | Kawthar Mohamed | Student in an Organized Health Care Education/Training Program | 120 W Michigan St # Cl630, Indianapolis, IN 46204 | 2019-04-16 |
| 1457853962 | Tracie Lynn King | Physical Therapy Assistant | 500 N Capitol Ave Unit A, Indianapolis, IN 46204 | 2018-03-01 |
| 1013436831 | Kayla Michelle Jackson | Social Worker | 1099 North Meridian Street, Suite 900, Indianapolis, IN 46204 | 2017-09-13 |
| 1912434010 | Latrice N Baxter | Counselor | 201 N. Illinois Street, 16th Floor, South Tower, Indianpolis, IN 46204 | 2017-05-19 |
| 1750820643 | Jcpl, LLC | Optometrist | 751 Massachusetts Ave, Indianapolis, IN 46204 | 2017-02-13 |
| 1922546969 | Makenzie Brinker | Specialist/Technologist | 800 N. Capital Ave, 420, Indianapolis, IN 46204 | 2017-02-10 |
| 1598118572 | Jennifer Clark | Internal Medicine | 1120 W. Michigan Street Gatch Hall Cl 630, Indianapolis, IN 46204 | 2016-07-14 |
| 1194176263 | Bradley Cox | Dentist | 451 E Market St Apt 448, Indianapolis, IN 46204 | 2016-06-29 |
| Find all providers in zip 46204 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144828922 | Yvette Markey | Counselor | 1001 Eugene St, Indianapolis, IN 46208-4930 | 2020-10-13 |
| 1982216917 | A Safe Home LLC | Counselor | 6201 La Pas Trl Ste 170, Indianapolis, IN 46268-2573 | 2020-08-20 |
| 1295378941 | Adriaka Tina Jackson | Counselor | 5868 E 71st St Ste E-630, Indianapolis, IN 46220-4075 | 2019-10-25 |
| 1356991434 | Kimberly Curry | Counselor | 506 W 26th St, Indianapolis, IN 46208-5518 | 2019-09-19 |
| 1154976546 | Carmen Kennedy | Counselor | 4710 E 30th St, Indianapolis, IN 46218-3109 | 2019-08-02 |
| 1487208930 | Darryl K Webster | Counselor | 4901 E. 31st Street, Indianapolis, IN 46218 | 2019-08-01 |
| 1780238238 | Rhonda Y. Battles | Counselor | 1775 N Sherman Dr Suite A, Indianapolis, IN 46218 | 2019-08-01 |
| 1154983583 | Ava Richardson | Counselor | 4072 Sawyer St, Indianapolis, IN 46226-4953 | 2019-07-05 |
| 1912461823 | Experience, Strength, Hope, LLC. | Counselor | 4954 E 56th St Ste 8, Indianapolis, IN 46220-5769 | 2019-01-24 |
| 1407322076 | Progress House, Inc. | Counselor | 201 Shelby St, Indianapolis, IN 46202-3943 | 2018-10-22 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46204 |
Please comment or provide details below to improve the information on TIMOTHY ALLEN 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.