| Dr Teresa Jacobson, DBH, LPCC, NCC | |
|
124 Hickory Grove Ct, Georgetown, KY 40324-2177 | |
| (513) 206-3026 | |
| (513) 620-5642 |
| Full Name | Dr Teresa Jacobson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 124 Hickory Grove Ct, Georgetown, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033665716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 275437 (Kentucky) | Primary |
| 101YP2500X | Counselor - Professional | E.1200234 (Ohio) | Secondary |
| Entity Name | Jacobson Counseling, Health & Wellness Consulting, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043835929 PECOS PAC ID: 1355789108 Enrollment ID: O20240329001742 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Teresa Jacobson, DBH, LPCC, NCC 120 Market Place Cir Ste C-182, Georgetown, KY 40324-7205 Ph: (513) 206-3026 | Dr Teresa Jacobson, DBH, LPCC, NCC 124 Hickory Grove Ct, Georgetown, KY 40324-2177 Ph: (513) 206-3026 |
Caleb Mackey, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 204 Bevins Ln Ste A, Georgetown, KY 40324 Phone: 859-951-9777 Fax: 859-951-9779 | |
Michelle Faith Muncy, LMFT, CBIS, TCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 168 Hemingway Pl, Georgetown, KY 40324 Phone: 769-355-9039 | |
Kara Cliffe, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2689 Frankfort Rd, Georgetown, KY 40324 Phone: 859-537-9779 | |
Natalie Carter, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 113 Irving Ln, Georgetown, KY 40324 Phone: 423-912-4488 | |
Candace Sue Newville, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1154a Lexington Rd, Georgetown, KY 40324 Phone: 833-510-4357 | |
Shannon Dale Bailey, M.A., LCADC, CCS Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 Eastside Dr, Georgetown, KY 40324 Phone: 502-866-0664 Fax: 502-866-0666 |