Mr Robert Stephen Jacobs, LCPC is a
Counselor - Mental Health based in Ccollinsville, Illinois. Mr Robert Stephen Jacobs is licensed to practice in Illinois (license number 180.002371) and his current practice location is
200 W. Country Ln., Ccollinsville, Illinois. He can be reached at his office (for appointments etc.) via phone at
(618) 398-1152.
NPI number for Mr Robert Stephen Jacobs is 1811187321 and his current mailing address is 353 N 88th St, Highway 157, Centreville, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1811187321.
Healthcare Provider's Profile
Full Name | Mr Robert Stephen Jacobs |
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Gender | Male |
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Speciality | Counselor - Mental Health |
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Location | 200 W. Country Ln., Ccollinsville, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1811187321
- Provider Enumeration Date: 07/31/2007
- Last Update Date: 10/29/2009
Medical Identifiers
Medical identifiers for Mr Robert Stephen Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811187321 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 180.002371 (Illinois) | Primary |
101YP2500X | Counselor - Professional | 180.002371 (Illinois) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Robert Stephen Jacobs is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Robert Stephen Jacobs, LCPC 353 N 88th St, Highway 157, Centreville, IL 62203-2705 Ph: (618) 398-1152 | Mr Robert Stephen Jacobs, LCPC 200 W. Country Ln., Ccollinsville, IL 62203-0000 Ph: (618) 398-1152 |
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