| Jacob Weber, | |
|
1884 22nd St Nw, Rochester, MN 55901-0618 | |
| (651) 422-8853 | |
| (651) 348-8349 |
| Full Name | Jacob Weber |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 4 Years |
| Location | 1884 22nd St Nw, Rochester, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700553054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | CC05020 (Minnesota) | Primary |
| 101YM0800X | Counselor - Mental Health | 111708 (Iowa) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ankeny Family Counseling | 6103364666 | 3 |
| Entity Name | Ankeny Family Counseling |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053804617 PECOS PAC ID: 6103364666 Enrollment ID: O20240814004637 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Weber, 1884 22nd St Nw, Rochester, MN 55901-0618 Ph: (651) 422-8853 | Jacob Weber, 1884 22nd St Nw, Rochester, MN 55901-0618 Ph: (651) 422-8853 |
Allison M Harbach, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 3040 Stonehedge Dr Ne, Rochester, MN 55906 Phone: 800-438-1772 Fax: 262-345-5562 | |
Regina Anne Mustafa, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 604 5th St Sw, Rochester, MN 55902 Phone: 507-357-1742 | |
Madelynn Jean Husman, MS, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 401 16th St Se Ste 100, Rochester, MN 55904 Phone: 507-516-0030 Fax: 507-516-0031 | |
Kristine M Lynam, LICSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 210 9th St Se, Rochester, MN 55904 Phone: 507-288-3443 | |
Kendra Henry, LPCC, LADC Counselor Medicare: Accepting Medicare Assignments Practice Location: 2212 2nd St Sw Unit 1, Rochester, MN 55902 Phone: 507-258-4458 Fax: 507-299-9577 | |
Ridwan Hassan Hussein, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2720 Superior Dr Nw Ste 101, Rochester, MN 55901 Phone: 952-212-0358 Fax: 612-326-6160 | |
Kayleigh Cleveland, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3737 40th Ave Nw, Rochester, MN 55901 Phone: 507-288-6978 |