TERRILL ANASTACIA JACOBSEN CPSS
NPI 1023631124
Peer Specialist in Kearney, NE
- Individual
- Female
- Peer Specialist
About TERRILL JACOBSEN
This page provides the complete NPI Profile along with additional information for Terrill Jacobsen, a provider established in Kearney, Nebraska with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1023631124 assigned on May 2020. The practitioner's primary taxonomy code is 175T00000X with license number CPSS-033 (NE). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1023631124 Verify this NPI
- Provider Name
- TERRILL ANASTACIA JACOBSEN CPSS
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3810 CENTRAL AVE KEARNEY, NE 68847
- Location Phone
- (308) 237-5951
- Location Fax
- (308) 237-5953
- Mailing Address
- PO BOX 1716 KEARNEY, NE 68848
- Mailing Phone
- (308) 237-5951
- Mailing Fax
- (308) 237-5953
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-22-2020
- Last Update Date
- 03-26-2024
- Code Navigator
Location Map
Secondary Locations
- 4111 4th Ave Ste 2
Kearney, NE 68845
(308) 237-1102
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- License No.
- CPSS-033
- License State
- NE
- Taxonomy Description
- 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.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
KEARNEY, NE 68847
KEARNEY, NE 68847
KEARNEY, NE 68847
KEARNEY, NE 68847
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023631124, enumerated as an "individual" on May 22, 2020.
The provider is located at 3810 CENTRAL AVE KEARNEY, NE 68847 and the phone number is (308) 237-5951.
Peer Specialist with taxonomy code 175T00000X.