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Jeanne Jacobs , LPCC, NCC

Counselor - Professional β€’ Willmar, MN

Active NPI 1922385889 Individual Practitioner Female Practitioner
Practice location in NPPES

1125 6th St Se
Willmar, MN 562014675

Call 3202354613 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1125 6th St Se

Willmar, MN 562014675

Telephone 3202354613
Fax 8556257406
Organization at the Same NPPES Address or Phone
Woodland Centers Facility NPI 1700976800

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Riverton, WY. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2011

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Willmar and Minnesota

36 active clinicians are listed under Counselor - Professional with a practice address in Willmar, MN (2,407 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Willmar

16.7% of these 36 clinicians have the CMS telehealth indicator.

27.8% of these 36 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES MN 01546
Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES ND 561101506
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Secondary Practice Locations

1110 Major Ave

Riverton, WY 825012342

Phone: 3078566587

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

11 listed
Kelli Anderson

Nurse Practitioner - Psychiatric/Mental Health

NPI 1992449151
Katelyn Christenson , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1992453815

Psychiatric-Mental Health Nurse Practitioner

Indria Clay , LCSW

Social Worker - Clinical

NPI 1649315201

Licensed Clinical Social Worker

Heidi Eggers

Nurse Practitioner - Psychiatric/Mental Health

NPI 1386973428
Kristel Hart , RN, CNS

Clinical Nurse Specialist - Psychiatric/Mental Health, Adult

NPI 1326026733

Registered Nurse, Clinical Nurse Specialist

Vanessa Montez

Social Worker - Clinical

NPI 1124251558

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Counselor (license number reported to NPPES: ND 561101506)

βœ…
NPI Profile Active June 15, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location June 15, 2017

Registered at 1125 6TH ST SE, WILLMAR, MN 562014675 (Tel: 3202354613)

πŸ“
Updated Business Mailing Address June 15, 2017

Registered at 1125 6TH ST SE, WILLMAR, MN 562014675 (Tel: (320) 235-4613)

πŸ‘€
Provider Name / Credentials Updated June 15, 2017

Recorded as JEANNE JACOBS, LPCC, NCC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2017

Counselor (license number reported to NPPES: ND 561101506)

βœ…
NPI Profile Active November 07, 2011

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 07, 2011

Registered at 1110 MAJOR AVE, RIVERTON, WY 825012342 (Tel: 3078566587)

πŸ“
Business Mailing Address (Initial Record) November 07, 2011

Registered at 1110 MAJOR AVE, RIVERTON, WY 825012342 (Tel: 3078566587)

πŸ‘€
Provider Name / Credentials (Initial Record) November 07, 2011

Recorded as JEANNE JACOBS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2011

Counselor (license number reported to NPPES: MN 00750)

🟒
Initial NPI Registration & Enumeration November 07, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1922385889
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 07, 2011
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

1125 6th St Se

Willmar, MN 562014675

Phone: 3202354613

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.