HEIDI JOAN JACOBSEN (NPI# 1962840819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962840819 |
| Entity Type | Individual |
| Full Name | HEIDI JOAN JACOBSEN |
| Credential | MS, LMHC M-CAP, LCPC |
| Practice Address |
10 Market Place Dr York ME 03909-1680 |
| Practice Telephone | 6039604185 |
| Mailing Telephone | 6039604185 |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2019-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
4968 | FL | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
IMH9011 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306967195 | Heidi Elizabeth Jacobsen | Psychologist | 95 Mt. Kemble Avenue, Morristown, NJ 07962-1978 | 2007-04-02 |
| Street Address |
10 MARKET PLACE DR |
| City | YORK |
| State | ME |
| Zip Code | 03909-1680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285692384 | Matthew J Donovan | Orthopaedic Surgery | 10 Market Place Dr, York, ME 03909-1680 | 2006-05-01 |
| 1023378296 | Anne Merra LLC | Psychiatry & Neurology | 10 Market Place Dr, York, ME 03909-1680 | 2012-05-22 |
| 1013285360 | Katie M Fortier | Occupational Therapist | 10 Market Place Dr, Unit 3b, York, ME 03909-1680 | 2011-12-01 |
| 1184912404 | Danielle Vollnogle | Physical Therapist | 10 Market Place Dr, #3b, York, ME 03909-1680 | 2011-07-20 |
| 1831419241 | Lisa R Fife | Physical Therapist | 10 Market Place Dr, #3b, York, ME 03909-1680 | 2010-06-08 |
| 1790960219 | Associates In York Orthopaedics | Orthopaedic Surgery | 10 Market Place Dr, York, ME 03909-1680 | 2008-01-03 |
| 1922173855 | Wiggle Worms Pediatric Physical Therapy, LLC | Physical Therapist | 10 Market Place Dr, Unit 3b, York, ME 03909 | 2006-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588206049 | Kristina Nicole Scangas | Physician Assistant | 3 Loving Kindness Way, York, ME 03909 | 2019-10-16 |
| 1467923540 | St. Georges Childcare Center | Clinic/Center | 407 York Street, York Harbor, ME 03909 | 2018-12-16 |
| 1518398023 | Jm Dental PC | Dentist | 433 F Us Route 1, Suite 107, York, ME 03909 | 2013-12-09 |
| 1043554405 | Jennifer Helen Gustafson | Occupational Therapist | 3 Whittier Way, York, ME 03909 | 2012-11-24 |
| 1720351240 | Kimberly Trafton | Acupuncturist | 272 York Street, York, ME 03909 | 2012-02-14 |
| 1518237767 | Jill Ann Colton-spina | Registered Nurse | 32 York Street, Psychiatry Associates of York Hospital, York, ME 03909 | 2012-01-05 |
| 1497980650 | York Family Dental | Dentist | 433f Us Route 1, Cottage Place Suite 107, York, ME 03909 | 2009-05-18 |
| 1356590947 | Susan A. Emerson | Occupational Therapist | 41 Brixham Rd., York, ME 03909 | 2008-09-18 |
| 1316122252 | John Wendelin Anderer | Dentist | 433 F Us Route 1 Cottage Place John Anderer D.d.s., 107, York, ME 03909 | 2008-01-09 |
| 1720296486 | Town of York/york School Department | Local Education Agency (LEA) | 469 U.S. Route One, York, ME 03909 | 2007-05-18 |
| Find all providers in zip 03909 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144848045 | Hyatt Counselling, LLC | Counselor | 114 Congress St S, York, SC 29745-1837 | 2020-07-08 |
| 1821612995 | Michele Lynn Husted | Counselor | 104 Lakeview Dr, York, SC 29745-2019 | 2020-06-03 |
| 1578185765 | Erin Morris | Counselor | 741 Colonial Ave, York, PA 17403-3405 | 2020-05-11 |
| 1255952008 | Danny Itschv Wolfman | Counselor | 200 Cider Hill Rd, York, ME 03909-5207 | 2020-05-04 |
| 1376183244 | Joslin Chidester | Counselor | 433 Us Route 1 Ste 215, York, ME 03909-1677 | 2020-01-08 |
| 1003362138 | April A Emeigh | Counselor | 608 N Grant Ave, York, NE 68467-3059 | 2016-08-29 |
| 1538520952 | Marone Ladarryl Brown | Counselor | 145 S Beaver St, York, PA 17401-5413 | 2016-03-12 |
| 1912363235 | Ronika Gore Middleton | Counselor | 103 Dickerson St, York, SC 29745-1203 | 2016-01-04 |
| 1497151906 | Wilson Santiago Jr. | Counselor | 513 S Duke St, York, PA 17401-2713 | 2014-11-10 |
| 1205242138 | Diakon Child, Family & Community Ministries | Counselor | 836 S George St, York, PA 17403-3124 | 2014-07-11 |
| Find all providers in YORK | ||||
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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.