MRS. CHELSEA JACOBS (NPI# 1841733607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841733607 |
| Entity Type | Individual |
| Full Name | MRS. CHELSEA JACOBS |
| Other Name | CHELSEA INGRAM |
| Practice Address |
1400 Parkmoor Ave 115 San Jose CA 95126-3797 |
| Mailing Address |
1711 Tanager Ave #306 San Leandro CA 94578-2088 |
| Practice Telephone | 4089719822 |
| Practice Fax Number | 4085087747 |
| Mailing Telephone | 5103726344 |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2017-08-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841794427 | Chelsea Jacobs | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Rd Ste 4102, Gainesville, FL 32610-3003 | 2018-03-20 |
| 1093259467 | Chelsea Jacobs | Recreation Therapist | 14090 Edgewood St, Livonia, MI 48154-5334 | 2016-12-05 |
| 1457743734 | Chelsea Jacobs | Chiropractor | 16216 Baxter Rd, Suite 190, Chesterfield, MO 63017-4770 | 2015-02-24 |
| Street Address |
1400 PARKMOOR AVE 115 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95126-3797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477887933 | Ana Servellon | Social Worker | 1400 Parkmoor Ave, San Jose, CA 95126-3797 | 2009-09-30 |
| 1043842008 | Issac Garcia | Case Management | 1400 Parkmoor Ave, San Jose, CA 95126-3797 | 2020-02-07 |
| 1831739515 | Sujata Panda | Specialist | 1400 Parkmoor Ave, San Jose, CA 95126-3797 | 2020-01-10 |
| 1457919417 | Kamala Kodukula | Case Manager/Care Coordinator | 1400 Parkmoor Ave, San Jose, CA 95126-3797 | 2019-06-04 |
| 1417515644 | Krystovia Eveth Thomas | Case Manager/Care Coordinator | 1400 Parkmoor Ave, San Jose, CA 95126-3797 | 2019-06-03 |
| 1245793181 | Seneca Family of Agencies | Community/Behavioral Health | 1400 Parkmoor Ave, San Jose, CA 95126-3797 | 2019-04-08 |
| 1659867398 | Deepika Verma | Counselor | 1400 Parkmoor Ave, San Jose, CA 95126-3797 | 2018-07-05 |
| 1871087031 | Brittany De'angela Newton | Counselor | 1400 Parkmoor Ave, San Jose, CA 95126-3797 | 2018-06-20 |
| 1104319953 | Leopoldo Medina | Counselor | 1400 Parkmoor Ave, San Jose, CA 95126-3797 | 2018-06-07 |
| 1134624083 | Adeleke Olatunji Falade | Counselor | 1400 Parkmoor Ave, San Jose, CA 95126-3797 | 2018-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356830418 | Esperanza Maravilla | Counselor | 1259 Park Ave, Apt 15, San Jose, CA 95126 | 2018-05-04 |
| 1811417819 | Sahr Lawande | Occupational Therapist | 1373 University Ave, San Jose, CA 95126 | 2017-06-21 |
| 1063941482 | Yang Li | Acupuncturist | 1520 Southwest Expy Unit 141, San Jose, CA 95126 | 2017-06-08 |
| 1598294860 | Camille Campbell | Counselor | 1400 Parkmoor Avenue, Suite 115, San Jose, CA 95126 | 2017-06-08 |
| 1588193387 | Vanessa Aspera | Case Manager/Care Coordinator | 1400 Parkmoor Avenue, San Jose, CA 95126 | 2017-06-06 |
| 1538692603 | Alexa Stine Fields | Acupuncturist | 714 Harding Ave, San Jose, CA 95126 | 2017-04-06 |
| 1669903647 | Lillette Rosete | Assisted Living Facility | 960 Vermont St, San Jose, CA 95126 | 2017-03-22 |
| 1952847105 | Dana Ninkham | Behavior Technician | 1922 The Alameda Suite 425, San Jose, CA 95126 | 2017-01-12 |
| 1811441199 | Cristina Morales Delgado | Community Health Worker | 1400 Parkmore Avenue, Suite 115, San Jose, CA 95126 | 2016-08-04 |
| 1053770123 | Felicia Nibungco | Marriage & Family Therapist | 1922 The Alameda Ste 326, San Jose, CA 95126 | 2016-02-18 |
| Find all providers in zip 95126 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276430 | Tuong-vi T Tran | Counselor | 1340 Tully Rd Ste 301&304, San Jose, CA 95122-3055 | 2020-08-21 |
| 1013531995 | Ellen Noon | Counselor | 1760 The Alameda, San Jose, CA 95126-1728 | 2020-06-05 |
| 1508404716 | Emilie Caitlin Leach | Counselor | 290 N 2nd St, San Jose, CA 95112 | 2019-12-18 |
| 1497314645 | Katherine Cairns | Counselor | 650 S Bascom Ave Ste B, San Jose, CA 95128-2601 | 2019-06-11 |
| 1861051542 | James Bernard Clark | Counselor | 5739 Almaden Rd Apt 4, San Jose, CA 95118-3623 | 2019-06-06 |
| 1891358677 | Mckenna Talley | Counselor | 150 Bernal Rd, San Jose, CA 95119-1304 | 2019-04-17 |
| 1548734130 | Rachel Ruiz II | Counselor | 9505 Malech Rd, San Jose, CA 95138-2002 | 2019-01-16 |
| 1275008435 | Sieglinde Kay Oorton-wright | Counselor | 2963 Sunburst Dr, San Jose, CA 95111-2265 | 2018-10-03 |
| 1689168346 | Alexandra Grandy | Counselor | 2939 David Ave, San Jose, CA 95128-4423 | 2018-06-17 |
| 1356830418 | Esperanza Maravilla | Counselor | 1259 Park Ave, Apt 15, San Jose, CA 95126 | 2018-05-04 |
| Find all providers in SAN JOSE | ||||
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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.