| Christopher Richard Jakub Sr, LPCC, LMHC | |
|
303 Ne 3rd Ave, Cape Coral, FL 33909-2538 | |
| (239) 799-2198 | |
| (239) 354-7234 |
| Full Name | Christopher Richard Jakub Sr |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 303 Ne 3rd Ave, Cape Coral, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306311931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | E2001805 (Ohio) | Secondary |
| 101YM0800X | Counselor - Mental Health | MH19081 (Florida) | Primary |
| Entity Name | The Traveling Therapist Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699244640 PECOS PAC ID: 2769723402 Enrollment ID: O20190408001121 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Richard Jakub Sr, LPCC, LMHC 303 Ne 3rd Ave Ste 8, Cape Coral, FL 33909-2538 Ph: (239) 799-2198 | Christopher Richard Jakub Sr, LPCC, LMHC 303 Ne 3rd Ave, Cape Coral, FL 33909-2538 Ph: (239) 799-2198 |
Emely Fernandez, Counselor Medicare: Medicare Enrolled Practice Location: 2007 Se 12th Ter, Cape Coral, FL 33990 Phone: 508-360-0524 | |
Ms. Donalie M. Benyak, LMHC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 923 Del Prado Blvd S Ste 202, Cape Coral, FL 33990 Phone: 239-772-5091 Fax: 239-772-8921 | |
Lukas Neumann, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 2721 Del Prado Blvd S Ste 200, Cape Coral, FL 33904 Phone: 239-673-9034 Fax: 239-673-9102 | |
Ann Marie Morris, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2204 Ne 25th Ter, Cape Coral, FL 33909 Phone: 239-401-0718 | |
Erin Williams, MA,RMHCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 1322 Se 46th Ln Ste 201, Cape Coral, FL 33904 Phone: 941-500-4338 | |
Roxanne V Kalch, LCSW, LAC Counselor Medicare: Accepting Medicare Assignments Practice Location: 2721 Del Prado Blvd S Ste 200, Cape Coral, FL 33904 Phone: 239-673-9034 Fax: 239-673-9102 | |
Kira Capano Hickman, MS, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1105 Cultural Park Blvd, Cape Coral, FL 33990 Phone: 239-772-1211 |