Mr. Chad Lawrence Jacobs is a Mountlake Terrace, Washington based nurse practitioner with 6 years of experience in Psych/Mental Health. He completed his graduation in 2019. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Chad Lawrence Jacobs is AP61025855 for Psych/Mental Health in Washington. His current practice location is 21907 64th Ave W Ste 200, Mountlake Terrace. Patients can reach him at 317-695-8041. Mr. Chad Lawrence Jacobs is PMHNP with specialization in Psych/Mental Health and his NPI number (Unique professional ID assigned by NPPES) is 1336783893. Mr. Chad Lawrence Jacobs provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Mr. Chad Lawrence Jacobs speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Mr. Chad Lawrence Jacobs
Specialization:
Psych/Mental Health Nurse Practitioner (PMHNP)
Gender:
Male
Credentials:
PMHNP
Experience:
6+ years
Medical School Attended:
Other
Graduation Year:
2019
Accepts Medicare Assignment:
Yes
Practice Address:
21907 64th Ave W Ste 200, Mountlake Terrace, Washington, 98043-6200
NPI number stands for National Provider Identifier which 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).
NPI details are as mentioned below.
PAC ID:
1355778259
Enrollment ID:
I20200304002267
NPI Number:
1336783893
NPI Enumeration Date:
29 Oct, 2019
NPI Last Update On:
15 Nov, 2021
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Chad Lawrence Jacobs are as mentioned below.
License Number
Specialization
State
Status
AP61025855
Psych/Mental Health
Washington
Primary
11004760
Psych/Mental Health
Florida
Secondary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mr. Chad Lawrence Jacobs is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Mindful Support Services Inc (4981872561)
137
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mr. Chad Lawrence Jacobs 2619 Baker Ave Apt 1, Everett, Washington
Zip:
98201-3161
Phone Number:
317-695-8041
Patients can reach Mr. Chad Lawrence Jacobs at 21907 64th Ave W Ste 200, Mountlake Terrace, Washington or can call to book an appointment on 317-695-8041.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.