What is Terrill Jacobsen's NPI number?

The NPI number assigned to this healthcare provider is 1023631124, enumerated as a individual on May 22, 2020.

Where is the provider located?

The provider is located at 3810 CENTRAL AVE KEARNEY, NE 68847 and the phone number is (308) 237-5951.

What is the provider's specialty?

The provider's specialty is Peer Specialist with taxonomy code 175T00000X.

TERRILL ANASTACIA JACOBSEN CPSS - NPI 1023631124 - Peer Specialist in Kearney, NE

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About Terrill Anastacia Jacobsen Cpss NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TERRILL ANASTACIA JACOBSEN CPSS (NPI 1023631124) is an individual peer specialist in Kearney, Nebraska, licensed in Nebraska (CPSS-033) and active in the NPI registry since May 2020. She maintains a secondary practice location in Kearney.

NPPES Registry Identity

NPI1023631124

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameTERRILL ANASTACIA JACOBSENCredential: CPSS

Location Address3810 CENTRAL AVEKearney, NE 68847-8134

Mailing AddressPo Box 1716Kearney, NE 68848-1716 · (308) 237-5951 · Fax (308) 237-5953

Phone(308) 237-5951

Fax(308) 237-5953

Sole ProprietorNo

Enumeration DateMay 22, 2020

Last NPPES UpdateMarch 26, 2024

NPPES CertifiedMarch 26, 2024

✔ NPI 1023631124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

License✔ Licensed in NE · CPSS-033

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

3810 CENTRAL AVE, Kearney, NE 68847

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