ABBY JACOBSON (NPI# 1962520874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962520874 |
| Entity Type | Individual |
| Full Name | ABBY JACOBSON |
| Credential | MA, LCDP |
| Practice Address |
63 Harmony Hill Rd Chepachet RI 02814-1429 |
| Practice Telephone | 4019490690 |
| Practice Fax Number | 4019494412 |
| Mailing Telephone | 4019490690 |
| Mailing Fax Number | 4019494412 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2012-03-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CDP00512 | RI | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
000121 | VT | Behavioral Health & Social Service Providers |
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
000121 | VT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | CIGNA | 2033065 | 01 |
| Street Address |
63 HARMONY HILL RD |
| City | CHEPACHET |
| State | RI |
| Zip Code | 02814-1429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265565469 | Linda Marie Mobriant | Social Worker | 63 Harmony Hill Rd, Chepachet, RI 02814-1429 | 2007-03-14 |
| 1366955007 | Heather Child Quercia | Social Worker | 63 Harmony Hill Rd, Chepachet, RI 02814-1429 | 2017-11-15 |
| 1649783044 | Andrew N Goins | Counselor | 63 Harmony Hill Rd, Chepachet, RI 02814-1429 | 2017-11-08 |
| 1962828111 | Linda Montminy | Counselor | 63 Harmony Hill Rd, Chepachet, RI 02814-1429 | 2014-03-12 |
| 1669803896 | John Breault | Social Worker | 63 Harmony Hill Rd, Chepachet, RI 02814-1429 | 2013-12-13 |
| 1942635784 | Harmony Hill School | Residential Treatment Facility, Emotionally Disturbed Children | 63 Harmony Hill Rd, Chepachet, RI 02814-1429 | 2013-09-12 |
| 1003240334 | Harmony Hill School | Residential Treatment Facility, Emotionally Disturbed Children | 63 Harmony Hill Rd, Chepachet, RI 02814-1429 | 2013-08-22 |
| 1477841344 | Kimberly Catherine O'connell | Social Worker | 63 Harmony Hill Rd, Chepachet, RI 02814-1429 | 2011-07-13 |
| 1689963407 | Wendy M Sousa | Social Worker | 63 Harmony Hill Rd, Chepachet, RI 02814-1429 | 2011-04-01 |
| 1669771374 | Tania A Antonio | Social Worker | 63 Harmony Hill Rd, Chepachet, RI 02814-1429 | 2011-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396950762 | Orthodontic Partners Ltd | Dentist | 1109 Putnam Pike, Chepachet, RI 02814 | 2007-05-11 |
| 1679691513 | Chepachet Fire District | Ambulance | 1170 Putnam Pike, Chepachet, RI 02814 | 2007-03-27 |
| 1609950831 | Clayton D Lanphear IIi | Family Medicine | 1133 Main St, Chepachet, RI 02814 | 2006-10-24 |
| 1578652400 | Heritage Podiatry, Inc. | Podiatrist | 5 Money Hill Road, Chepachet, RI 02814 | 2006-10-11 |
| 1295832186 | Matthew Michael Stone | Chiropractor | 712 Putnam Pike, Unit # 4, Chepachet, RI 02814 | 2006-09-20 |
| 1730364316 | Glocester Family Chiropractic, Inc | Chiropractor | 712 Putnam Pike, Unit # 4, Chepachet, RI 02814 | 2008-01-02 |
| 1184731879 | Chepachet Pharmacy, Inc. | Pharmacy | 15 Money Hill Rd, Chepachet, RI 02814-0901 | 2006-08-25 |
| 1669460028 | West Glocester Fire Tax District | Ambulance | 2410 Putnam Pike, Chepachet, RI 02814-1147 | 2005-10-11 |
| 1932715356 | Brianna Putnam | Nurse Practitioner | 44 Brandy Brook Rd, Chepachet, RI 02814-1207 | 2020-09-21 |
| 1750537056 | Heritage Podiatry Inc. | Clinic/Center | 5 Money Hill Rd, Chepachet, RI 02814-1304 | 2008-08-18 |
| Find all providers in zip 02814 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881192 | Tiyawni Kerriesha Byfield | Counselor | 4705 Boston Post Rd., Charlestown, RI 02813 | 2020-11-03 |
| 1285240549 | Pjmj Counselling LLC | Counselor | 45 Alger Ave, East Greenwich, RI 02818-4313 | 2020-09-21 |
| 1649884248 | Jose G. Cruz Rodriguez | Counselor | 66 Planet Ave, Riverside, RI 02915-2172 | 2020-09-02 |
| 1528694494 | Timothy Lavendier | Counselor | 3371 Diamond Hill Rd, Cumberland, RI 02864-2922 | 2020-03-23 |
| 1205479755 | Madisson A Catanzaro | Counselor | 400 Bald Hill Rd Ste 517, Warwick, RI 02886-6100 | 2019-10-28 |
| 1477100808 | Raisa Emilia Garcia-diaz | Counselor | 66 Pavilion Avenue, Providence, RI 02905 | 2019-08-21 |
| 1679126452 | Mary Musial | Counselor | 22 Midway Dr, North Kingstown, RI 02852-2514 | 2019-07-20 |
| 1831741156 | Lauren D'andrea | Counselor | 50 Tobie Ave, Pawtucket, RI 02861-2912 | 2019-07-16 |
| 1134780067 | Jamie Lynn Souza | Counselor | 1257 Cranston St, Cranston, RI 02920-7315 | 2019-06-21 |
| 1285298299 | David J. Decosta | Counselor | 200 Hilton St, Tiverton, RI 02878-1119 | 2019-04-24 |
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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.