Active NPIIndividual providerSole proprietor

Abby Jacobson, MA, LCDP

Counselor, Addiction (Substance Use Disorder) in Chepachet, Rhode Island

NPI Number1962520874
Practice location
63 Harmony Hill RD, Chepachet, RI 02814-1429
Fax
401-949-4412
Last updated
March 13, 2012

Abby Jacobson is a Counselor, Addiction (Substance Use Disorder) based in Chepachet, RI. Abby Jacobson practices in Chepachet, RI and has the professional credentials of MA, LCDP. The NPI Number for Abby Jacobson is 1962520874 and holds a License No. 000121 (VT). The current practice location address for Abby Jacobson is 63 Harmony Hill RD, Chepachet, RI 02814-1429 and can be reached out via phone at 401-949-0690 and via fax at 401-949-4412.

Provider Profile Details

NPI Number
1962520874
Provider Name
Abby Jacobson
Credential
MA, LCDP
Provider Entity Type
Individual
Gender
Female
Address
63 Harmony Hill RD, Chepachet, RI 02814-1429
Phone Number
401-949-0690
Fax Number
401-949-4412
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
Yes
Provider Enumeration Date
March 27, 2007
Last Update Date
March 13, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
63 Harmony Hill RD
Chepachet, RI 02814-1429
Zip
02814-1429
Phone Number
401-949-0690
Fax Number
401-949-4412
Chepachet, RI 02814Get directions →

Provider Business Mailing Address Details

Address
63 Harmony Hill RD
Chepachet, RI 02814-1429
City
Chepachet
State
RI
Zip
02814-1429
Phone Number
401-949-0690
Fax Number
401-949-4412

License Information

License Number (1)
000121
License State (1)
VT
License Number (2)
000121
License State (2)
VT
License Number (3)
CDP00512
License State (3)
RI
Taxonomy (3)
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Abby Jacobson, MA, LCDP?

The NPI number of Abby Jacobson, MA, LCDP is 1962520874. It was assigned on March 27, 2007 and is currently active in the NPPES registry.

What is the specialty of Abby Jacobson, MA, LCDP?

Abby Jacobson, MA, LCDP is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in VT under license number 000121.

Where does Abby Jacobson, MA, LCDP practice?

The practice location is 63 Harmony Hill RD, Chepachet, RI 02814-1429. The office can be reached at 401-949-0690 (phone) or 401-949-4412 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1962520874 directly on the NPPES registry website.

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